Operation of Tricuspid Valve Endocarditis with Pulmonary Infarction: Lobectomy with Open Heart Surgery.
- Author:
Sung Wan KIM
1
;
Duk Sil KIM
;
Joon Yong CHO
;
Sang Hoon JHEON
;
Eung Bae LEE
;
Bong Hyun CHANG
;
Jong Tae LEE
;
Kyu Tae KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pochon CHA University, Gumi CHA Hospital, Korea. doa1224@intizen.com
- Publication Type:Case Report
- Keywords:
Tricuspid valve;
Endocarditis;
Lung infarction
- MeSH:
Cardiopulmonary Bypass;
Cough;
Echocardiography;
Endocarditis*;
Fever;
Heart Septal Defects, Ventricular;
Heart*;
Humans;
Hyperthermia, Induced;
Male;
Methicillin-Resistant Staphylococcus aureus;
Parturition;
Pulmonary Infarction*;
Sternotomy;
Thoracic Surgery*;
Thrombectomy;
Tricuspid Valve Insufficiency;
Tricuspid Valve*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(10):776-779
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An eight-year-old boy was referred to our hospital with cough and high fever. His past medical history included a small sized ventricular septal defect (VSD) at birth. Transthoracic echocardiography disclosed a 10x6 mm vegetation on tricuspid valve, a small VSD and the moderate tricuspid valve insufficiency were found. Blood cultures grew methicillin-resistant staphylococcus aureus. Despite proper antibiotic therapy, fever was not controlled and his course was complicated by pulmonary infarction. The patient simultaneously underwent pulmonary resection and open heart surgery. Through the median sternotomy we performed open thrombectomy and lobectomy (right lower lobe) at first, and then vegetectomy, tricuspid valve repair, and direct closure of VSD were done under cardiopulmonary bypass.
