Document Detail

Conservative surgery in multiple cusp involvement in tricuspid valve endocarditis.
MedLine Citation:
PMID:  1931353     Owner:  NLM     Status:  MEDLINE    
Tricuspid and mitral valve endocarditis caused by Staphylococcus epidermidis in a 57 year old previously healthy man with no history of drug abuse presented as bi-ventricular failure and multiple episodes of pulmonary emboli. He was treated for four weeks with intravenous antibiotics and had serial echocardiographic assessment of the vegetation on the tricuspid valve. This was followed by mitral valve replacement, local excision of vegetation from all the three cusps of the tricuspid valve, and autologous pericardial reconstruction of these cusps with functional assessment by perioperative transoesophageal echocardiography. Postoperative cardiac function was excellent and serial echocardiographic assessment confirmed satisfactory tricuspid valve function. This is believed to be the first recorded case in which autologous pericardial repair was used to reconstruct all the three cusps in a tricuspid valve after excision of vegetations.
J R Anderson; P Scott; R U Nair
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  66     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-12-10     Completed Date:  1991-12-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  244-5     Citation Subset:  AIM; IM    
Killingbeck Hospital, Leeds.
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MeSH Terms
Endocarditis, Bacterial / surgery*
Heart Valve Prosthesis*
Middle Aged
Mitral Valve / surgery
Pericardium / transplantation
Staphylococcal Infections / surgery*
Staphylococcus epidermidis*
Tricuspid Valve / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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