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Updated: Jun 25, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

Huge tricuspid valve abscess.

Carmen M Manzano Nieto¹, Isidre Vilacosta, Cecilia Corros

¹Instituto Cardiovascular, Hospital Universitario San Carlos, Madrid, Spain.

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology

|February 7, 2009

Summary

This summary is machine-generated.

A patient with colorectal cancer developed a Staphylococcus aureus infection, leading to a large mass and abscess on the tricuspid valve. Surgical intervention revealed a ruptured tendinous cord and valve abscess.

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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation

Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation

Published on: March 17, 2023

Area of Science:

Cardiology
Infectious Diseases
Oncology

Background:

A 60-year-old woman with a history of colorectal adenocarcinoma and hepatic metastasis presented with symptoms suggestive of infection.
The patient had a port-a-cath for chemotherapy administration, which was later removed due to fever and shivering.

Observation:

Blood and catheter cultures were positive for methicillin-sensitive Staphylococcus aureus.
Transthoracic echocardiography (TEE) revealed a mobile 3 x 2 cm mass on the tricuspid valve, described as a 'ball of wool'.
Cardiac MRI confirmed the tricuspid valve mass and showed delayed enhancement.

Findings:

Surgical exploration identified a ruptured tendinous cord of the tricuspid valve.
A large abscess was found within the septal leaflet of the tricuspid valve.

Implications:

This case highlights a rare complication of Staphylococcus aureus infection in a patient with a history of malignancy and indwelling devices.
Prompt diagnosis and surgical intervention are crucial for managing infective endocarditis with abscess formation.
The findings underscore the importance of considering infectious etiologies in patients with cardiac masses, especially those with risk factors.