Percutaneous VDD leadless pacer implant post recent bioprosthetic tricuspid valve replacement for infective endocarditis

2021 ◽  
Author(s):  
Maria Pia del Corral ◽  
Pedro Covas ◽  
Cynthia Tracy ◽  
Marco Mercader ◽  
Allen Solomon
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Tricuspid Valve Replacement

scholarly journals Intraveninių narkomanų triburio vožtuvo izoliuoto infekcinio endokardito chirurginio gydymo patirtis

2010 ◽  
Vol 8 (3) ◽  
pp. 0-0
Author(s):  
Gediminas Džiugas ◽  
Kęstutis Ručinskas ◽  
Palmyra Semėnienė ◽  
Karolina Džiugienė ◽  
Arimantas Grebelis ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Drug Users ◽  
Intravenous Drug ◽  
Drug Abusers ◽  
Tricuspid Valve Replacement ◽  
Valve Reconstruction ◽  
Intravenous Drug Abusers ◽  
Tricuspid Valve Reconstruction

Gediminas Džiugas1, Kęstutis Ručinskas1 , Palmyra Semėnienė1, Karolina Džiugienė2, ArimantasGrebelis1, Vytautas Sirvydis1 1 Vilniaus universiteto Širdies ir kraujagyslių ligų klinika, Santariškių g. 2, LT-08661 VilniusEl. paštas: [email protected] Vilniaus universiteto Medicinos fakultetas Įvadas: Mažiausiai 5 % triburio vožtuvo (TV) infekcinio endokardito (IE) atvejų reikia gydyti chirurgiškai. Nėra daug studijų, analizuojančių intraveninių narkomanų izoliuoto triburio vožtuvo infekcinio endokardito chirurginio gydymo rezultatus. Duomenų apie tokių ligonių gydymą Lietuvoje nėra. Mes pateikiame pastarųjų 10-ies metų rezultatus, gydant intraveninius narkomanus, operuotus dėl triburio vožtuvo infekcinio endokardito. Įvertinome triburio vožtuvo protezavimo biologiniu vožtuvu ir plastikos ankstyvuosius bei vėlyvuosius rezultatus. Ligoniai ir metodai: Ši studija retrospektyvi. Atlikta 18 ligonių, operuotų Vilniaus universiteto ligoninės Santariškių klinikų Širdies chirurgijos centre dėl izoliuoto triburio vožtuvo infekcinio endokardito 2000–2010 m., duomenų analizė. Visi ligoniai vartojo intraveninius narkotikus. Rezultatai: Pooperaciniu laikotarpiu nemirė nė vienas ligonis, visi išrašyti iš stacionaro. Ankstyvųjų pooperacinių komplikacijų pasitaikė tik ligoniams, kuriems atliktas triburio vožtuvo protezavimas (4 iš 14 pacientų). Tačiau skirtumas, palyginti su triburio vožtuvo plastikos grupe, nereikšmingas (p=0,225). Ilgesnė hospitalizacijos trukmė buvo po TV protezavimo biologiniu protezu (27,7±14,5 d.) nei po TV plastikos (18,7±15,1 d.). Vėlyvosios komplikacijos išsivystė 8 ligoniams: septyniems buvo atliktas pirminis TV protezavimas biologiniu vožtuvu ir vienam – TV plastika. Keturiems ligoniams buvo infekcinio endokardito atkrytis. Vėlyvuoju pooperaciniu laikotarpiu mirė 4 (22 %) ligoniai. Išvados: Daliai intraveninių narkomanų triburio vožtuvo chirurginė korekcija yra vienintelis veiksmingas triburio vožtuvo infekcinio endokardito gydymo būdas. Po triburio vožtuvo protezavimo biologiniu protezu dažnai būna ankstyvųjų ir vėlyvųjų komplikacijų. Triburio vožtuvo plastika – saugesnis gydymo būdas ankstyvuoju pooperaciniu laikotarpiu. Reikšminiai žodžiai: triburis vožtuvas, intraveninių narkotikų vartojimas, infekcinis endokarditas, triburio vožtuvo plastika, triburio vožtuvo protezavimas, komplikacijos The experience of surgery for isolated tricuspid valve infective endocarditis in intravenous drug abusers Gediminas Džiugas1, Kęstutis Ručinskas1 , Palmyra Semėnienė1, Karolina Džiugienė2, ArimantasGrebelis1, Vytautas Sirvydis1 1 Vilniaus universiteto Širdies ir kraujagyslių ligų klinika, Santariškių g. 2, LT-08661 VilniusEl. paštas: [email protected] Vilniaus universiteto Medicinos fakultetas Objective: Tricuspid valve infective endocarditis usually affects intravenous drug users. At least 5% of patients with tricuspid valve infective endocarditis have to be treated surgically. Few data exist on surgery for the isolated tricuspid valve infective endocarditis in intravenous drug abusers, and there is no such data in Lithuania. This study summarizes our experience in a surgical treatment of isolated tricuspid valve infective endocarditis in intravenous drug users. Patients and methods: This is a retrospective analysis of 18 patients operated on for isolated tricuspid valve infective endocarditis in our centre in 2000–2010. All the patients were intravenous drug abusers. Results: There were no perioperative deaths. Early complications were observed only in the tricuspid valve replacement group (4/14), but there was no significant difference (p = 0.225) was compared to the reconstruction group. There was a longer hospitalization period (27.7 ± 14.5 d) for tricuspid valve replacement than for tricuspid valve reconstruction (18.7 ± 15.1 d.). Eight patients had late complications, of them seven had undergone initial tricuspid valve replacement and one – reconstruction. Four patients had recurrent endocarditis. Late mortality was in 4 (22 %) patients. Conclusion: For some intravenous drug abusers, tricuspid valve surgery for tricuspid valve infective endocarditis is the only effective treatment. Tricuspid valve replacement with biological prosthesis for intravenous drug abusers is associated with numerous early and late postoperative complications. Tricuspid valve reconstruction is a safe method of treatment in the early postoperative period. Key words: tricuspid valve, intravenous drug abusers, infective endocarditis, tricuspid valve reconstruction, tricuspid valve replacement, complications.

scholarly journals A Case of Long-Term Antifungal Therapy after Tricuspid Valve Replacement for Aspergillus Infective Endocarditis

2015 ◽  
Vol 44 (3) ◽  
pp. 151-154
Author(s):  
Hiroshi Tsuchiya ◽  
Mio Noma ◽  
Yoshifumi Nishino ◽  
Yusuke Inaba ◽  
Hidehito Endo ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Antifungal Therapy ◽  
Tricuspid Valve Replacement

scholarly journals Tricuspid Valve Infective Endocarditis In Drug Abusers: Clinical Features and Results of Surgical Treatment

2013 ◽  
Vol 7 (1) ◽  
pp. 29-34
Author(s):  
DI Lashmanov ◽  
Krishna Bhandari ◽  
VA Chiginev ◽  
VV Pichugin ◽  
EN Zemskova
Keyword(s):  
Surgical Treatment ◽  
Drug Abuse ◽  
Infective Endocarditis ◽  
Valve Replacement ◽  
Clinical Features ◽  
Tricuspid Valve ◽  
Prosthetic Valve ◽  
Drug Abusers ◽  
Tricuspid Valve Replacement ◽  
Ultrasound Investigation

The objective of this study was to evaluate the clinical features, diagnostic criteria and indications for surgery in patients – drug abusers with tricuspid valve infective endocarditis (TVIE), and outcome of surgical treatment in these patients. From December 1999 to August 2009 35 patients (drug addicts) with TVIE were operated in the department of acquired heart diseases of Cardiac and Vascular Surgery Center, Nizhny Novgorod. 25 males and 10 females aged from 15 to 51 years were included in this study. 3 patients were re-operated due to recurrence of endocarditis. Biological prosthetic valve "Bio-Lab" was used in all patients. Intravenous drug abuse was the cause of the disease in all patients. Acute onset with hectic fever, shivering, profuse sweating, intoxication and development of multi-organ failure were the main clinical features of the disease. Embolism of the peripheral branches of pulmonary artery by septic embolus or micro thrombi were common symptoms. Ultrasound investigation played an important role in diagnosis of TVIE. It was the only criteria for the verification of the diagnosis in patients with fever of unknown origin until the appearance of valve damages and cardiac murmurs. All 35 (100%) patients underwent tricuspid valve replacement (TVR). 3 (8.57%) patients underwent redo TVR because of prosthetic valve endocarditis due to persistent intravenous drug abuse after surgery. The hospital mortality rate was 0%. Acute debut of the disease may be the first clinical feature of tricuspid valve infec­tive endocarditis in drug abusers. Ultrasound investigation is important for early diagnosis and effective treatment. Surgical treatment is indicated in cases of ineffective antibiotic therapy and massive tricuspid valve damages. Tricuspid valve replacement by a biological prosthesis was the treatment of choice in these patients. The use of biological prosthetic valve had good clinical re­sults with low thrombogenic risk and high resistance to infection. Nepalese Heart Journal | Volume 7 | No.1 | November 2010 (special issue) | Page 29-34 DOI: http://dx.doi.org/10.3126/njh.v7i1.8499

Off-Pump Tricuspid Valve Replacement for Severe Infective Endocarditis

2007 ◽  
Vol 84 (1) ◽  
pp. 309-311 ◽  
Author(s):  
Kun-Kuang Lee ◽  
Hsi-Yu Yu ◽  
Yih-Sharng Chen ◽  
Nai-Hsin Chi ◽  
Chung-I Chang ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Tricuspid Valve Replacement ◽  
Off Pump

scholarly journals Infective endocarditis due to multiple species of anaerobes following tricuspid valve replacement

2017 ◽  
Vol 50 (5) ◽  
pp. 733-734 ◽  
Author(s):  
Yoshiaki Cho ◽  
Kisei Minami ◽  
Masashi Kasai ◽  
Noriko Kubota ◽  
Tsukasa Higuchi
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Tricuspid Valve Replacement ◽  
Multiple Species
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