Septic Shock Secondary to Tricuspid Valve Vegetation Requiring Surgical Debulking.
| Autor: | Gorantla A; Cardiology, State University of New York Downstate Health Sciences University, Brooklyn, USA., Kishore A; Internal Medicine, Sisters of Charity Hospital, Buffalo, USA., Ebubechukwu U; Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA., Narayanaswamy M; Internal Medicine, Veterans Affairs Medical Center, Brooklyn, USA.; Internal Medicine, State University of New York Downstate Medical Center, Brooklyn, USA., Taluru HV; Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA., Sivakumar S; Neurology, State University of New York Downstate Health Sciences University, New York, USA., Hossain N; Cardiology, Downstate, Brooklyn, USA., Graham-Hill S; Cardiology, Kings County Hospital Center, Brooklyn, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Sep 17; Vol. 15 (9), pp. e45403. Date of Electronic Publication: 2023 Sep 17 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.45403 |
| Abstrakt: | Tricuspid valve endocarditis is increasing in incidence owing to the prevalent use of intravenous substances. Although most patients respond well to intravenous antibiotics over the course of six weeks, some patients require surgical intervention. A multilayered approach to diagnosis with both transthoracic and transesophageal echocardiography (TEE) is recommended for optimal diagnosis and management. In this article, we report a case of septic shock resulting from tricuspid valve infective endocarditis in a young woman with a history of intravenous drug use who ultimately required cardiothoracic surgical intervention for tricuspid valve vegetation. The sensitivity and specificity of TEE for vegetation on the native valves are about 96% and 90%, respectively. Timely surgical intervention may increase the likelihood of tricuspid valve repair by preventing further destruction of leaflet tissue. Transthoracic echocardiogram (TTE) and TEE have complementary roles in the diagnosis and evaluation of endocarditis. With this case report, we emphasize the importance of multimodality imaging and early surgical intervention to prevent further embolism and destruction of tricuspid valve leaflet tissue. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Gorantla et al.) |
| Databáze: | MEDLINE |
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