Related Experiment Video
Updated: Sep 11, 2025
03:40
Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
433
Right Ventricular Outflow Tract Endocarditis: A Very Rare Case and Short View
Selman Dumani1, Vera Beca2, Devis Pellumbi1
1Cardiac Surgery, University Hospital Center "Mother Theresa", Tirana, ALB.
Cureus
|August 13, 2025
Summary
Infective endocarditis rarely affects the right ventricular outflow tract (RVOT), even in intravenous drug users. This case highlights surgical intervention for RVOT vegetation and tricuspid valve endocarditis, leading to a favorable outcome.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Right-sided infective endocarditis is often linked to intravenous drug use, typically affecting the tricuspid valve.
- Involvement of the right ventricular outflow tract (RVOT) in infective endocarditis is uncommon.
Observation:
- A 30-year-old intravenous drug user presented with persistent fever and was diagnosed with severe tricuspid regurgitation due to a vegetation on the tricuspid valve.
- Echocardiography also identified a mobile mass in the right ventricular outflow tract (RVOT).
Findings:
- Surgical intervention included tricuspid valve replacement and RVOT mass excision.
- Histopathology confirmed fibrinous-thrombotic vegetation in both locations.
Implications:
- This case underscores the importance of considering RVOT involvement in right-sided infective endocarditis, particularly in high-risk patients.
- Surgical management is crucial for definitive treatment and favorable outcomes in atypical endocarditis cases.
Related Concept Videos
01:25Endocarditis I: Introduction
26
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...
26
01:25Endocarditis II: Clinical Features of Infective Endocarditis
25
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...
25
01:18Endocarditis III: Medical Management
17
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...
17
01:29Endocarditis IV: Nursing Management
27
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...
27
01:23Rheumatic Heart Disease I: Introduction
40
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
40
01:22Mitral Stenosis I: Introduction
35
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...
35