[Tricuspid valve replacement for infective endocarditis in drug addict--a case report].
For right-sided endocarditis associated with drug abuse a successful treatment by tricuspid valve replacement was reported. A 34-year-old female who had a history of intravenous drug use for 14 years was admitted with complaints of chest pain, fever and dyspnea. A large vegetation about 47 mm in size attached to the tricuspid valve with tricuspid regurgitation was detected by echocardiography. Methicillin-resistant staphylococcus aureus was isolated in a blood culture. Because infection was persistent and uncontrollable in spite of sensitive multiple antibiotic regimens, tricuspid valve replacement using a St. Jude Medical valve was successfully performed with excision of markedly destroyed leaflets and debridement of the infectious lesions. After surgery the patient has been free from infection for 3 years.
Department of Cardiovascular Surgery, Nikko Memorial Hospital, Muroran, Japan.
A
A
Yanagiya
T
T
Kazui
T
T
Mawatari
D000328:Adult; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D013203:Staphylococcal Infections / Q000601:surgery; D015819:Substance Abuse, Intravenous / Q000150:complications*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*