title: "Removal without replacement" strategy for uncontrolled prosthetic tricuspid valve endocarditis associated with abortion sepsis.
abstract: Isolated tricuspid valve (TV) endocarditis associated with abortion is a rare entity with a poor prognosis. We report the case of a 22-year-old woman with a diagnosis of isolated prosthetic TV endocarditis secondary to recurrent abortion. The patient had progressed to multiorgan failure and disseminated intravascular coagulation during her clinical course. Because of the high operative risk and uncontrolled infection, we performed an unusual surgical approach that has not previously been reported. Resection of infected valvular tissue without replacement of the prosthesis led to a rapid convalescence period and complete cure.
authors.affiliation: Department of Cardiology, Istanbul Medicine Hospital, Istanbul. drkarabulut@yahoo.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karabulut
authors.forename: Ozgur
authors.initials: O
authors.lastname: Surgit
authors.forename: Ozgur
authors.initials: O
authors.lastname: Akgul
authors.forename: Ihsan
authors.initials: I
authors.lastname: Bakir
mesh_terms: D000031:Abortion, Septic / Q000188:drug therapy*; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D011247:Pregnancy; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D055815:Young Adult