A Successful Case of Redo-Tricuspid Valve Replacement for Prosthetic Valve Endocarditis Thirty-Two Years after Single Tricuspid Bioprosthetic Valve Replacement
- VernacularTitle:三尖弁置換術32年後に発症した人工弁感染性心内膜炎に対する再弁置換術の1例
- Author:
Shuhei MIURA
1
;
Yutaka IBA
1
;
Kei MUKAWA
1
;
Keitaro NAKANISHI
1
;
Takakimi MIZUNO
1
;
Ayaka ARIHARA
1
;
Tsuyoshi SHIBATA
1
;
Junji NAKAZAWA
1
;
Tomohiro NAKAJIMA
1
;
Nobuyoshi KAWAHARADA
1
Author Information
- Keywords: tricuspid prosthetic valve endocarditis; redo-tricuspid valve replacement
- From:Japanese Journal of Cardiovascular Surgery 2024;53(3):100-104
- CountryJapan
- Language:Japanese
- Abstract: 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.
