1.A Successful Case of Redo-Tricuspid Valve Replacement for Prosthetic Valve Endocarditis Thirty-Two Years after Single Tricuspid Bioprosthetic Valve Replacement
Shuhei MIURA ; Yutaka IBA ; Kei MUKAWA ; Keitaro NAKANISHI ; Takakimi MIZUNO ; Ayaka ARIHARA ; Tsuyoshi SHIBATA ; Junji NAKAZAWA ; Tomohiro NAKAJIMA ; Nobuyoshi KAWAHARADA
Japanese Journal of Cardiovascular Surgery 2024;53(3):100-104
We present a successful case of redo-tricuspid valve replacement for tricuspid prosthetic valve endocarditis. A 78-year-old man who underwent tricuspid bioprosthetic valve replacement for severe tricuspid regurgitation thirty-two years earlier was referred to our institution with persistent high fever and back pain. The blood culture was positive for Streptococcus oralis, and echocardiography revealed a mobile vegetation attached to the tricuspid prosthetic valve with moderate tricuspid regurgitation. A clinical diagnosis of prosthetic valve endocarditis was established. Redo-tricuspid bioprosthetic valve replacement was performed following antibiotics therapy. The patient was discharged on postoperative day 49 after 6 weeks of additional antibiotic treatment, and had no recurrence of infection for 6 months after redo-surgery.
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