Tricuspid Valve Infective Endocarditis With Biventricular Thrombi: An Unusual Presentation.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2026-09-08 eCollection Date: 2026-01-01 DOI:10.1155/cric/2016181

Genevieve Phipps, Sarteg Singh, Shane Preston

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引用次数: 0

Abstract

Background: Biventricular thrombi (BVT) is a rare presentation associated with high morbidity and mortality due to the potential sequela of life-threatening complications including embolic events and cardiac failure. As an uncommon entity, there is limited research on best practice for the management of BVT.

Presentation: We present a case of BVT with Streptococcus anginosus and Staphylococcus hominis concomitant bloodstream infection, tricuspid valve infective endocarditis (TVIE), septic emboli and decompensated dilated cardiomyopathy (LVEF 20%-25%). Guideline directed heart failure management, antimicrobials and anticoagulation were initiated with a remarkable recovery within 2 months.

Discussion: Given the rarity of this presentation, a multidisciplinary approach was taken to guide management. Follow-up echocardiography after completion of antimicrobial therapy demonstrated an LVEF of 53%, no detectable thrombus and resolution of congestive symptoms. Although there is minimal population-based evidence, this case supports a conservative approach for the treatment of TVIE, BVT and its potential sequelae in select patients.

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三尖瓣感染性心内膜炎伴双心室血栓：一种不寻常的表现。

背景：双心室血栓（BVT）是一种罕见的疾病，由于栓塞事件和心力衰竭等危及生命的并发症的潜在后遗症，其发病率和死亡率都很高。作为一个不常见的实体，对BVT管理的最佳实践研究有限。我们报告一例BVT合并血管链球菌和人型葡萄球菌并发血流感染，三尖瓣感染性心内膜炎（TVIE），脓毒性栓塞和失代偿扩张性心肌病（LVEF 20%-25%）。指南指导的心力衰竭管理，抗菌剂和抗凝治疗开始在2个月内显著恢复。讨论：鉴于这次演讲的罕见性，采取了多学科方法来指导管理。完成抗菌药物治疗后的随访超声心动图显示LVEF为53%，未检测到血栓，充血性症状消退。尽管基于人群的证据很少，但本病例支持保守治疗TVIE、BVT及其潜在后遗症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

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审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.