Related Experiment Video
Updated: Jul 21, 2025
08:42
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
3.5K
[Tricuspid Valve Replacement for Isolated Tricuspid Valve Infective Endocarditis without Risk Factor]
Ayako Nagasawa1, Yuya Nozawa, Yusuke Katoh
1Department of Cardiovascular Surgery, Isesaki Municipal Hospital, Isesaki, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 27, 2023
Summary
This case study highlights a successful surgical intervention for severe tricuspid valve endocarditis caused by Streptococcus anginosus in a patient with diabetes mellitus and prior gastric cancer. Prompt valve replacement ensured a positive outcome, preventing recurrent infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Surgical Innovation
Context:
- A 78-year-old male with a history of gastric cancer and untreated diabetes presented with fever and leg edema.
- Blood cultures revealed Streptococcus anginosus, and echocardiography confirmed isolated tricuspid valve infective endocarditis.
- Despite antibiotic treatment, severe regurgitation and a large vegetation necessitated surgical intervention.
Purpose:
- To describe the management and surgical treatment of a complex case of infective endocarditis.
- To illustrate the use of bioprosthetic valve replacement for extensive tricuspid valve damage.
- To report the clinical outcome following surgical intervention for tricuspid valve endocarditis.
Summary:
- The patient underwent tricuspid valve replacement using a bioprosthetic valve due to extensive leaflet damage from infective endocarditis.
- Postoperative management included intravenous antibiotics, leading to successful infection control.
- The patient was discharged on postoperative day 25 and remained free from recurrent endocarditis for 6 months.
Impact:
- Demonstrates the efficacy of surgical valve replacement in managing severe tricuspid valve endocarditis.
- Highlights the importance of addressing underlying conditions like diabetes in endocarditis management.
- Provides a successful case example for complex cardiovascular infections requiring surgical intervention.
More Related Videos
Related Concept Videos
01:18Endocarditis III: Medical Management
8
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...
8
01:25Endocarditis I: Introduction
13
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...
13
01:26Mitral Stenosis III: Medical Management
13
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...
13
01:29Endocarditis IV: Nursing Management
16
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...
16
01:25Endocarditis II: Clinical Features of Infective Endocarditis
14
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...
14
01:22Mitral Valve Prolapse II: Assessment and Management
23
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
23