[Extended tricuspid valve excision for active infective endocarditis associated with ventricular septal defect].
We report a patient of ventricular septal defect associated with a vegetations on the tricuspid valve and a perforation of the aortic cusp caused by infective endocarditis. Antibiotics could not relieve the high fever of this patient, and disseminated intravascular coagulation caused by sepsis and two-sided heart failure developed. She underwent extended tricuspid valve excision, aortic valve replacement and VSD closure during the active stage. Post-operative antibiotic therapy was continued intravenously for 6 weeks, and orally for 3 more weeks. Although post-operative right ventriculography indicated tricuspid regurgitation and right atrium enlargement, pressure study of the right side of the heart revealed normal hemodynamics.
Tedoriya
T
T
Department of Cardiovascular Surgery, Kanazawa National Hospital, Japan.
Akemoto
K
K
Kasashima
F
F
Ueyama
T
T
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D013293:Enterococcus faecalis; D005260:Female; D016908:Gram-Positive Bacterial Infections; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D014261:Tricuspid Valve / Q000473:pathology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*
D000900:Anti-Bacterial Agents