Tricuspid Valve Repair with Autologous Pericardium in a Patient with Infective Endocarditis

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Henry Leonardo Robayo Amórtegui1,2, Javier Páez Cristancho1,2, Igor Donís-Gómez2

  • 1Colsubsidio Investiga Research Group, Clínica Infantil de Colsubsidio, Bogotá, Colombia.

Brazilian Journal of Cardiovascular Surgery
|February 17, 2021
PubMed

Insights

Infective endocarditis in infants, though rare, carries a high mortality. This case highlights successful treatment of Corynebacterium diphtheriae-induced endocarditis using a novel pericardium patch for tricuspid valvuloplasty.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Infective endocarditis (IE) presents a significant challenge in pediatric populations, with mortality rates ranging from 5% to 10%.
  • Early diagnosis and effective management are crucial for improving outcomes in infants with IE.

Observation:

  • A rare case of an infant diagnosed with infective endocarditis caused by Corynebacterium diphtheriae.
  • The patient presented with multiple vegetations on the tricuspid valve, a critical cardiac structure.

Findings:

  • Surgical intervention involving tricuspid valvuloplasty was performed.
  • A fenestrated autologous pericardium patch was utilized for the valvuloplasty, demonstrating a simple, innovative, and effective technique.

Implications:

  • This surgical approach offers a promising solution for complex pediatric tricuspid valve reconstruction in cases of infective endocarditis.
  • The successful application of this technique suggests its potential for broader use in similar pediatric cardiac surgical cases.

Keywords:
Cardiac Surgical ProceduresChildCorynebacterium DiphtheriaeEndocarditis, BacteriaPericardiumTricuspid Valve

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