Isolated tricuspid valve endocarditis - A rare entity and a surgeon's dilemma.

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Rahul Bhushan, Vaibhav Chugh, Narender S Jhajhria, Vijay Grover, Palash V Aiyer
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引用次数: 0

Abstract

Isolated tricuspid valve endocarditis accounts for only 5 to 10 percent of infective endocarditis cases globally. Numerous surgical procedures ranging from simple vegetectomy, creation of neoleaflets or complete replacement by a prosthetic valve have been described. We aimed to evaluate our experience in surgical management of this entity and to formulate an approach for timing, appropriateness and extent of surgery. Patients operated on semi elective/emergency basis had adverse outcome with residual regurgitation and had longer ICU stay. Also, patients who required excision of leaflet and creation of neoleaflets had a higher incidence of regurgitation. This suggests that maximal preservation of native valve lessens the incidence of residual regurgitation. Simple vegetectomy and patch repair of the residual defect offers the best outcome.

孤立的三尖瓣心内膜炎-一个罕见的实体和外科医生的困境。
孤立性三尖瓣心内膜炎仅占全球感染性心内膜炎病例的5%至10%。许多外科手术,从简单的植物切除,创造新的小叶苗或完全替代人工瓣膜已被描述。我们的目的是评估我们在这种实体的手术管理经验,并制定手术的时机,适当性和程度的方法。在半选择性/急诊基础上手术的患者有残余反流和更长的ICU住院时间的不良结果。此外,需要切除小叶并产生新小叶的患者有较高的反流发生率。这表明最大限度地保留原生瓣膜可以减少残余反流的发生率。简单的植物切除和残余缺损的补片修复是最好的结果。
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来源期刊
Journal of Cardiovascular and Thoracic Research
Journal of Cardiovascular and Thoracic Research CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.00
自引率
0.00%
发文量
22
审稿时长
7 weeks
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