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Unmasking Severe Tricuspid Valve Regurgitation After Percutaneous Debulking of Large Tricuspid Vegetation

Overview
Journal JACC Case Rep
Specialty Cardiology & Vascular Diseases
Date 2021 Jul 28
PMID 34317633
Citations 4
Authors
Adrian Mercado-Alamo
Hemindermeet Singh
Howard Rosman
Rajendra Mehta
Thomas LaLonde
Amir Kaki
Affiliations
Soon will be listed here.
Abstract

A 27-year-old man admitted with tricuspid valve endocarditis with a large vegetation, persistent bacteremia, and pulmonary and systemic septic embolization was deemed not a suitable surgical candidate. He underwent percutaneous vegetation debulking using the AngioVac system. The patient defervesced post-operatively with clinical improvement but with abruptly worsened tricuspid regurgitation. ().

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References
1.
Nishimura R, Otto C, Bonow R, Carabello B, Erwin 3rd J, Guyton R . 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014; 129(23):e521-643. DOI: 10.1161/CIR.0000000000000031. View
2.
Starck C, Dreizler T, Falk V . The AngioVac system as a bail-out option in infective valve endocarditis. Ann Cardiothorac Surg. 2019; 8(6):675-677. PMC: 6892725. DOI: 10.21037/acs.2019.11.04. View
3.
Murdoch D, Corey G, Hoen B, Miro J, Fowler Jr V, Bayer A . Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med. 2009; 169(5):463-73. PMC: 3625651. DOI: 10.1001/archinternmed.2008.603. View
4.
Osterdal O, Salminen P, Jordal S, Sjursen H, Wendelbo O, Haaverstad R . Cardiac surgery for infective endocarditis in patients with intravenous drug use. Interact Cardiovasc Thorac Surg. 2016; 22(5):633-40. PMC: 4892139. DOI: 10.1093/icvts/ivv397. View
5.
Habib G, Lancellotti P, Antunes M, Bongiorni M, Casalta J, Del Zotti F . 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the.... Eur Heart J. 2015; 36(44):3075-3128. DOI: 10.1093/eurheartj/ehv319. View