@article{JTD6498,
author = {George Makdisi and Thomas Casciani and Thomas C. Wozniak and David W. Roe and Zubair A. Hashmi},
title = {A successful percutaneous mechanical vegetation debulking used as a bridge to surgery in acute tricuspid valve endocarditis},
journal = {Journal of Thoracic Disease},
volume = {8},
number = {1},
year = {2016},
keywords = {},
abstract = {Timing of surgical management of acute infective endocarditis is a major challenge, with respect to surgical complications, risks of recurrences and optimal valve repair or replacement. We present a case of a 24-year-old male with a history of intravenous drug abuse, who was referred to our center after 10 days of medical management of acute infective endocarditis. Upon arrival he was in septic shock, multi-organ failure, and mobile vegetations on the tricuspid valve with severe tricuspid regurgitation. He also had bilateral pulmonary infarcts and an ischemic stroke in the right parietal lobe. A successful percutaneous transcatheter mechanical vegetation debulking was performed followed by surgical valve replacement seven days later. This case introduces a new option in the management of right-sided endocarditis in critically ill patient, and demonstrates the technical feasibility of a debulking procedure in this setting, which led subsequently to a significant improvement in patient’s condition, and he was ultimately able to undergo definitive surgery.},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/6498}
}