Article
Successful tricuspid valvectomy in a septic patient with tricuspid valve endocarditis
JCPSP: J Coll Physicians Surg Pak.
Publication Date
4-1-2015
Document Type
Article
Disciplines
- Cardiology and
- Surgery
Abstract
Abstract
Endocarditis is characterized by vegetations, which is a mass of platelets, fibrin, micro-colonies of micro-organisms, and inflammatory cells, in the endocardium. Over the past three decades, the incidence of right-sided endocarditis has risen dramatically in Pakistan. We report a 36-year woman with a history of repeated intravenous analgesic injections for low back pain, presenting with high grade fever, sepsis and a white cell count of 44,000 with 90% neutrophils. Echocardiography showed large mobile vegetations on TricuspidValve (TV). Tricuspid Valve Endocarditis (TVE) is generally responsive to medical treatment; however, about 25% of TVE patients require surgical intervention. Long-term survival of a patient is possible without a prosthetic TV replacement, particularly if the pulmonary artery pressure is normal.
Citation Information
Taimur Asif Ali, Saulat Hasnain Fatimi, Syed Saad Naeem and Wasiq Faraz Rawasia. "Successful tricuspid valvectomy in a septic patient with tricuspid valve endocarditis" JCPSP: J Coll Physicians Surg Pak. Vol. 25 Iss. (Special Supplement 1) (2015) p. S8 - S9 Available at: http://works.bepress.com/saulat_fatimi/16/