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Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma

Isolated tricuspid valve endocarditis accounts for only 5 to 10 percent of infective endocarditis cases globally. Numerous surgical procedures ranging from simple vegetectomy, creation of neoleaflets or complete replacement by a prosthetic valve have been described. We aimed to evaluate our experien...

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Autores principales: Bhushan, Rahul, Chugh, Vaibhav, Jhajhria, Narender S, Grover, Vijay, Aiyer, Palash V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339738/
https://www.ncbi.nlm.nih.gov/pubmed/35935388
http://dx.doi.org/10.34172/jcvtr.2022.13
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author Bhushan, Rahul
Chugh, Vaibhav
Jhajhria, Narender S
Grover, Vijay
Aiyer, Palash V
author_facet Bhushan, Rahul
Chugh, Vaibhav
Jhajhria, Narender S
Grover, Vijay
Aiyer, Palash V
author_sort Bhushan, Rahul
collection PubMed
description Isolated tricuspid valve endocarditis accounts for only 5 to 10 percent of infective endocarditis cases globally. Numerous surgical procedures ranging from simple vegetectomy, creation of neoleaflets or complete replacement by a prosthetic valve have been described. We aimed to evaluate our experience in surgical management of this entity and to formulate an approach for timing, appropriateness and extent of surgery. Patients operated on semi elective/emergency basis had adverse outcome with residual regurgitation and had longer ICU stay. Also, patients who required excision of leaflet and creation of neoleaflets had a higher incidence of regurgitation. This suggests that maximal preservation of native valve lessens the incidence of residual regurgitation. Simple vegetectomy and patch repair of the residual defect offers the best outcome.
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spelling pubmed-93397382022-08-04 Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma Bhushan, Rahul Chugh, Vaibhav Jhajhria, Narender S Grover, Vijay Aiyer, Palash V J Cardiovasc Thorac Res Case Series Isolated tricuspid valve endocarditis accounts for only 5 to 10 percent of infective endocarditis cases globally. Numerous surgical procedures ranging from simple vegetectomy, creation of neoleaflets or complete replacement by a prosthetic valve have been described. We aimed to evaluate our experience in surgical management of this entity and to formulate an approach for timing, appropriateness and extent of surgery. Patients operated on semi elective/emergency basis had adverse outcome with residual regurgitation and had longer ICU stay. Also, patients who required excision of leaflet and creation of neoleaflets had a higher incidence of regurgitation. This suggests that maximal preservation of native valve lessens the incidence of residual regurgitation. Simple vegetectomy and patch repair of the residual defect offers the best outcome. Tabriz University of Medical Sciences 2022 2022-06-12 /pmc/articles/PMC9339738/ /pubmed/35935388 http://dx.doi.org/10.34172/jcvtr.2022.13 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Bhushan, Rahul
Chugh, Vaibhav
Jhajhria, Narender S
Grover, Vijay
Aiyer, Palash V
Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title_full Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title_fullStr Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title_full_unstemmed Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title_short Isolated tricuspid valve endocarditis - A rare entity and a surgeon’s dilemma
title_sort isolated tricuspid valve endocarditis - a rare entity and a surgeon’s dilemma
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339738/
https://www.ncbi.nlm.nih.gov/pubmed/35935388
http://dx.doi.org/10.34172/jcvtr.2022.13
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