Tricuspid Valve Endocarditis Complicated Disseminated Intravascular Coagulation (DIC) before an Operation
10.4326/jjcvs.36.85
- VernacularTitle:術前にＤＩＣを合併した三尖弁感染性心内膜炎の１手術例
- Author:
Daisuke Futagami
;
Hideo Yoshida
;
Hironori Ebishima
;
Nobuyuki Tokunaga
;
Keiji Yunoki
;
Kunikazu Hisamochi
;
Osamu Oba
- Publication Type:Journal Article
- Keywords:
DIC
- From:Japanese Journal of Cardiovascular Surgery
2007;36(2):85-87
- CountryJapan
- Language:Japanese
-
Abstract:
Right-sided infective endocarditis (IE) accounts for 5% to 10% of all IE. Compared with left-sided IE, antibiotic treatment is effective in about 70% of cases. The timing of surgical treatment for right-sided IE is therefor controversial. A 26-year-old woman had suffered from tricuspid valve endocarditis with DIC. There was no evidence of any previous cardiac event or dental treatment. Echocardiography showed a large vegetation attached to the anterior leaflet of tricuspid valve with moderate tricuspid regurgitation. We removed the vegetation with a part of the anterior leaflet and performed tricuspid valvuloplasty and annuloplasty. The patient had an uneventful postoperative course and received intravenous antibiotic treatment for a further 4 weeks.
