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Published on: March 12, 2020

The Society of Thoracic Surgeons Expert Consensus Document on Tricuspid Valve Endocarditis in People Who Inject Drugs

Joshua B Goldberg1, James Hunter Mehaffey2, Molly L Paras3

  • 1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York City, NY.

The Annals of Thoracic Surgery
|July 17, 2026
PubMed

Insights

This expert consensus provides guidance for managing tricuspid valve endocarditis in people who inject drugs, addressing key clinical and surgical considerations for this challenging patient population.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Public Health

Background:

  • Tricuspid valve endocarditis in people who inject drugs presents unique clinical and social challenges.
  • Limited research exists to guide evidence-based treatment for this specific population.

Purpose of the Study:

  • To develop an expert consensus document on managing tricuspid valve endocarditis in people who inject drugs.
  • To provide evidence-based recommendations for clinical practice.

Main Methods:

  • A writing group was assembled by The Society of Thoracic Surgeons Workforce on Evidence Based Surgery in 2024.
  • A comprehensive literature search was performed using Medline for studies published in English over the past 15 years.
  • A modified Delphi method was employed, with experts voting on statements using a 5-point Likert scale.

Main Results:

  • Expert consensus statements were generated on critical management topics.
  • Key areas addressed include vegetation size, pathogen impact, persistent bacteremia, prosthetic valve issues, surgical strategies, new technologies, and ethical concerns.

Conclusions:

  • The consensus statements offer insights derived from literature and clinical experience.
  • These statements aim to inform the management of tricuspid valve endocarditis in patients who inject drugs.
Abstract

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