title: Isolated Tricuspid Valve Endocarditis Caused by Infection of an Implanted Central Venous Access Port Device.
abstract: A 70-year-old man was referred to our hospital for an intermittent high fever attributed to subcutaneous pocket infection of an implanted central venous access port device caused by methicillin-resistant staphylococcus aureus and subsequent bloodstream infection. Echocardiography revealed a large vegetation on the posterior tricuspid leaflet, annular dilatation and moderate-to-severe tricuspid regurgitation. Valve surgery was performed for persistent infection despite 8 weeks of antibiotics therapy. At operation, vegetations and torn chordae tendineae were found on the posterior tricuspid leaflet. After total resection of the posterior tricuspid leaflet, bicuspidalization valvuloplasty with prosthetic ring annuloplasty was achieved without relapse of the infection or residual regurgitation.
authors.affiliation: Department of Cardiovascular Surgery, St. Mary's Hospital.
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Aoyagi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oda
authors.forename: Hayato
authors.initials: H
authors.lastname: Fukuda
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Zaima
authors.forename: Eiji
authors.initials: E
authors.lastname: Nakamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yasunaga
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D058385:Cardiac Valve Annuloplasty; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D062905:Central Venous Catheters / Q000009:adverse effects*; D015150:Echocardiography, Doppler; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents