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Tricuspid valve endocarditis following central venous cannulation: The increasing problem of catheter related

Suresh Babu Kale1, Jagannathan Raghavan

  • 1Department of Cardiothoracic Surgery, Institute for Cardiac Treatment and Research, Southern Railway Headquarter Hospital, Perambur, Chennai, Tamil Nadu, India.

Indian Journal of Anaesthesia
|October 29, 2013
PubMed

Insights

Central venous catheter (CVC) placement can lead to rare but serious tricuspid valve endocarditis. Early recognition and surgical intervention are crucial for managing this complication.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Devices

Background:

  • Central venous catheters (CVCs) are essential for hemodynamic monitoring, drug delivery, and dialysis.
  • CVC placement is common, but complications can arise, including rare but severe infectious endocarditis.
  • Tricuspid valve endocarditis is a serious CVC complication with high morbidity and mortality.

Purpose of the Study:

  • To report a case of tricuspid valve endocarditis secondary to CVC placement.
  • To highlight the potential for guide wire or CVC injury to predispose to endocarditis.
  • To emphasize the need for surgical management in such cases.

Main Methods:

  • Case report detailing a patient with CVC placement.
  • Review of potential mechanisms of CVC-related tricuspid valve injury.
  • Description of surgical intervention for tricuspid valve endocarditis.

Main Results:

  • The patient developed tricuspid valve endocarditis, likely due to guide wire or CVC injury.
  • Open heart surgery was required for vegetectomy and tricuspid valve repair.
  • Successful surgical outcome was achieved.

Conclusions:

  • Tricuspid valve injury from CVC insertion can lead to infectious endocarditis.
  • Prompt surgical intervention is necessary for managing CVC-related tricuspid valve endocarditis.
  • This case underscores the importance of careful CVC technique to prevent severe complications.

Keywords:
Central venous cathetercomplicationsendocarditisinfectionintensive care

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