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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
621
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

365
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

945
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
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Updated: Feb 26, 2026

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Tricuspid valve endocarditis.

Syed T Hussain1, James Witten2, Nabin K Shrestha3

  • 1Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

Annals of Cardiothoracic Surgery
|July 15, 2017
PubMed
Summary

Right-sided infective endocarditis (RSIE), often affecting the tricuspid valve (TV), is linked to IV drug use. While antibiotics suffice for most, surgery may be needed for complications, with repair favored over replacement.

Keywords:
Tricuspid valve (TV)infective endocarditis (IE)right-sided endocarditis

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Right-sided infective endocarditis (RSIE) comprises 5-10% of infective endocarditis (IE) cases, predominantly involving the tricuspid valve (TV) in 90% of instances.
  • Risk factors for RSIE include intravenous drug use (IVDU), pacemaker/defibrillator leads, and dialysis vascular access.
  • Staphylococcus aureus is the most common pathogen identified in tricuspid valve endocarditis (TVIE).

Purpose of the Study:

  • To review and discuss the current understanding of IE involving the tricuspid valve (TV).
  • To highlight surgical indications and outcomes for TVIE, given the relative rarity of these cases at many institutions.

Main Methods:

  • Literature review focusing on RSIE and TVIE.
  • Analysis of current understanding regarding diagnosis, treatment, and surgical management of TVIE.
  • Discussion of factors influencing surgical decision-making and outcomes.

Main Results:

  • Most TVIE cases are successfully managed with antibiotics, but 5-16% require surgery.
  • Surgical indications include failed medical therapy, large vegetations, septic pulmonary embolism, TV regurgitation, and heart failure.
  • Valve repair is preferred over replacement, especially in IVDU patients, to mitigate risks of recurrent infection and reoperation.

Conclusions:

  • Tricuspid valve repair is often feasible even with extensive destruction.
  • Earlier surgical intervention may improve outcomes and increase the likelihood of valve repair.
  • Isolated TVIE has a favorable prognosis with operative mortality between 0-15%, while concomitant left-sided IE worsens the prognosis.