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Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

23
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...
23
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

29
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...
29
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

41
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...
41
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

33
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...
33
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

35
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
35
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

48
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...
48

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Related Experiment Video

Updated: Sep 18, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Surgical Intervention for Isolated Tricuspid Valve Endocarditis-Refining Patients' Selection.

Ali Hage1, Rami Abazid2, Fadi Hage1

  • 1Division of Cardiac Surgery, Department of Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada.

Avicenna Journal of Medicine
|June 23, 2025
PubMed
Summary

Surgical intervention for isolated tricuspid valve infective endocarditis (TVIE) shows a 34.6% mortality rate. Male sex, intravenous drug use (IVDU), low hemoglobin, and reduced left ventricular ejection fraction (LVEF) predict mortality, suggesting early intervention benefits survival.

Keywords:
infective endocarditistricuspid regurgitationtricuspid valve

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Isolated tricuspid valve infective endocarditis (TVIE) is a serious condition requiring surgical intervention.
  • Understanding clinical and imaging factors influencing outcomes is crucial for patient management.

Purpose of the Study:

  • To analyze clinical and imaging factors in patients with isolated TVIE undergoing surgery.
  • To assess short- and long-term outcomes following surgical intervention for isolated TVIE.

Main Methods:

  • Retrospective analysis of 26 patients with definite isolated TVIE who underwent surgery between 2004 and 2019.
  • Data collection included demographics, preoperative, and postoperative variables.
  • Primary outcomes were mortality and a composite of death, readmission for heart failure, or recurrent endocarditis.

Main Results:

  • A total of 29 interventions were performed; 75.8% of TVIE cases were related to Staphylococcus aureus.
  • The 5.4-year follow-up revealed a 34.6% mortality rate and 57.7% composite outcome rate.
  • Male sex, intravenous drug users (IVDU), lower preoperative hemoglobin, and reduced left ventricular ejection fraction (LVEF) were significant predictors of mortality.

Conclusions:

  • Surgical intervention for isolated TVIE carries a significant mortality risk (34.6%).
  • Predictors of post-surgical mortality include male sex, IVDU history, anemia, and impaired LV systolic function.
  • Early surgical intervention before anemia or LV dysfunction may improve survival outcomes.