title: Combined mitral and tricuspid valve repair in acute infective endocarditis.
abstract: Combined repair of the mitral and tricuspid valves involved with acute infective endocarditis was carried out in a 38-year-old drug addict. Mitral valve repair included vegetectomy, closure of posterior leaflet perforation, and posterior annuloplasty with a patch and a strip of glutaraldehyde-tanned autologous pericardium, respectively, while the tricuspid valve was reconstructed with the use of artificial chordae and valve bicuspidalization. At five months follow up the patient is asymptomatic, with echocardiographic evidence of only trivial mitral and tricuspid incompetence, and no signs of recurrent infection. This case report supports the use of valve reconstruction as a valuable option in patients in whom there is simultaneous involvement of the mitral and tricuspid valves with infective endocarditis.
authors.affiliation: Division of Cardiac Surgery, University of Pisa Medical School, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Pratali
authors.forename: C
authors.initials: C
authors.lastname: Nardi
authors.forename: O
authors.initials: O
authors.lastname: Di Gregorio
authors.forename: F
authors.initials: F
authors.lastname: Becherini
authors.forename: A
authors.initials: A
authors.lastname: Milano
authors.forename: U
authors.initials: U
authors.lastname: Bortolotti
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000209:etiology / Q000601:surgery*; D015819:Substance Abuse, Intravenous / Q000150:complications; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*