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Case Reports
. 2019 Mar 8;12(3):e227408.
doi: 10.1136/bcr-2018-227408.

Severe tricuspid valve destruction secondary to previous non-appropriately treated endocarditis

Fatouma Sall  1 , Anicet Adoubi  1 , Nina Koffi  1 , Herve Yangni-Angate  1
Affiliations
Case Reports

Severe tricuspid valve destruction secondary to previous non-appropriately treated endocarditis

Fatouma Sall et al. BMJ Case Rep. .

Abstract

Tricuspid valve(TV) destruction with a remote history of endocarditis without known risk factors (ie, HIV, intravenous drug use, neoplasm, trauma) is rare. We describe the case of a TVs destruction in a 12-year-old non-HIV boy, with a 4-year history of endocarditis without known risk factors nor evidence regarding previous appropriately management.

Keywords: heart failure; valvar diseases.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Transthoracic echocardiogram. Four chamber view shows tricuspid valve (TV) endocarditis with large vegetation (arrow) on anterior and posterior pathological TVs. LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
Figure 2
Figure 2
Clinical presentation of patient with visible hepatomegaly at inspection.
Figure 3
Figure 3
Chest radiograph shows severe cardiomegaly with right ventricular and right atrial dilation. CTI, cardiothoracic index.
Figure 4
Figure 4
ECG shows atrial fibrillation with ventricular aberrations, right axial deviation, right ventricular hypertrophy, complete right bundle branch block.
Figure 5
Figure 5
Transthoracic echocardiogram. Four-chamber view shows tricuspid valve (TV) remnants (white arrow) and marked right ventricular and right atrial dilation with severe tricuspid regurgitation secondary to TV destruction and annular dilatation (yellow arrow).  LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
See this image and copyright information in PMC

References

    1. Grinberg M, Solimene MC. Historical aspects of infective endocarditis. Rev Assoc Med Bras 2011;57:228–33. - PubMed
    1. Gaca JG, Sheng S, Daneshmand M, et al. Current outcomes for tricuspid valve infective endocarditis surgery in North America. Ann Thorac Surg 2013;96:1374–81. 10.1016/j.athoracsur.2013.05.046 - DOI - PubMed
    1. Roberts WC, Buchbinder NA. Right-sided valvular infective endocarditis. A clinicopathologic study of twelve necropsy patients. Am J Med 1972;53:7–19. - PubMed
    1. Gottardi R, Bialy J, Devyatko E, et al. Midterm follow-up of tricuspid valve reconstruction due to active infective endocarditis. Ann Thorac Surg 2007;84:1943–8. 10.1016/j.athoracsur.2007.04.116 - DOI - PubMed
    1. Yuan SM. Right-sided infective endocarditis: recent epidemiologic changes. Int J Clin Exp Med 2014;7:199–218. - PMC - PubMed

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