Percutaneous aspiration of vegetation from tricuspid valve infective endocarditis

2020 ◽  
Keyword(s):  
Infective Endocarditis ◽  
Tricuspid Valve ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Percutaneous Aspiration ◽  
Cardiac Device ◽  
Percutaneous Approach ◽  
Vegetation Removal ◽  
Real Time Visualization ◽  
Implantable Cardiac Device

We present a novel minimally invasive percutaneous approach for the surgical treatment of tricuspid valve infective endocarditis. In this case, the patient presented with a malfunctioning implantable cardiac device, right ventricle implantable cardiac device lead infection, and infective endocarditis of the tricuspid valve. The infective endocarditis vegetations were removed via a percutaneous approach using the AngioVac suction device. The device was modified by the surgeon, who sutured 2 threads to the head of the device in order to allow adjustments to be made to the angle of suction by applying tension on the suture. Real-time visualization of the procedure was achieved via transesophageal echocardiography. This approach, utilizing the AngioVac device, is a feasible and effective treatment strategy for endocarditis vegetation removal in selected patients who would otherwise be unsuitable candidates for open heart surgery.

Percutaneous transcatheter snare vegetectomy in a child

2016 ◽  
Vol 26 (4) ◽  
pp. 824-826
Author(s):  
I. Levent Saltık ◽  
Sezen U. Atik ◽  
Ayşe G. Eroglu
Keyword(s):  
Heart Failure ◽  
Infective Endocarditis ◽  
Tetralogy Of Fallot ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Percutaneous Approach

AbstractSurgical vegetectomy may be indicated in patients with unresolving sepsis, heart failure, recurrent embolism, or the presence of large vegetations >10 mm in size. Percutaneous vegetectomy using a snare may be a reasonable option instead of open-heart surgery in selected patients. We describe the case of a patient with operated tetralogy of Fallot and infective endocarditis who underwent vegetectomy via a percutaneous approach.

scholarly journals Postcaesarean open-heart surgery for Streptococcus sanguinis infective endocarditis

2013 ◽  
Vol 2013 (nov14 1) ◽  
pp. bcr2013010103-bcr2013010103 ◽  
Author(s):  
K. Kongwattanakul ◽  
S. Tribuddharat ◽  
S. Prathanee ◽  
O. Pachirat
Keyword(s):  
Infective Endocarditis ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Streptococcus Sanguinis

scholarly journals Migration of PFO closure device and entrapment within tricuspid valve leading to tricuspid regurgitation: surgical correction of an extremely rare complication after transcutaneous PFO closure

2021 ◽  
Vol 14 (1) ◽  
pp. e239398
Author(s):  
Myat Soe Thet ◽  
Amir Sepehripour ◽  
Abed Elfattah F A Atieh ◽  
Carmelo Di Salvo
Keyword(s):  
Tricuspid Valve ◽  
Heart Surgery ◽  
Transcatheter Closure ◽  
Rare Complication ◽  
Open Heart Surgery ◽  
Closure Device ◽  
Device Closure ◽  
Imaging Studies ◽  
Tricuspid Valve Regurgitation ◽  
Pfo Closure

A 41-year-old woman was referred to tertiary cardiothoracic surgery centre following embolisation of the Amplatzer patent foramen ovale (PFO) closure device to septal leaflet of tricuspid valve with reopening of PFO. Two years earlier, she presented with thalamic stroke, and she was found to have a PFO following investigations. The following year she underwent transcatheter closure. Six months after the percutaneous closure, she presented again with significant periods of shortness of breath. Imaging studies revealed the migration and embolisation of PFO closure device to the septal leaflet of tricuspid valve with reopening of the foramen and significant tricuspid valve regurgitation. She underwent open heart surgery using cardiopulmonary bypass for retrieval of the device, closure of the foramen and repair of the tricuspid valve. The patient recovered well without any significant issues following surgery.

Incidence and Predictors of Permanent Pacing in Patients Undergoing Open Heart Surgery for Infective Endocarditis

2018 ◽  
Vol 27 ◽  
pp. S369
Author(s):  
A. Al-Kaisey ◽  
N. Chandra ◽  
F. Ha ◽  
S. Vasanthakumar ◽  
Y. Al-Kaisey ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Permanent Pacing

Abstract TP284: Association of Hemorrhagic Stroke with Recurrence Stroke caused by Infective Endocarditis

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Toshiho Ohtsuki ◽  
Eiichi Nomura ◽  
Amami Kato ◽  
Masayasu Matsumoto
Keyword(s):  
Infective Endocarditis ◽  
Hemorrhagic Stroke ◽  
Heart Surgery ◽  
Recurrent Stroke ◽  
Open Heart Surgery ◽  
Hemorrhagic Transformation ◽  
Recurrent Group ◽  
Heart Operation ◽  
Duke University ◽  
Bacterial Emboli

Objective: Infective endocarditis causes not only brain infarcts and infection triggered by bacterial emboli, but also hemorrhagic stroke by inflamed arteries or aneurysms prone to rupture, when we make the requisite open-heart surgery delayed. We examined if hemorrhagic stroke caused by infective endocarditis and complicated microbleeds were associated with subsequent recurrent stroke. Methods: We conducted the observational study on 36 consecutive patients (19 men, aged 18-84, median 53) with acute symptomatic stroke caused by definite or possible infective endocarditis according to the Duke University criteria from October 2005 to April 2012. Brain hemorrhage/infarcts responsible for neurological signs and asymptomatic microbleeds were verified by CT and diffusion/T2*-weighted MRI. We had followed each patient as for recurrent symptomatic stroke for 3 months. Results: Out of 36, hemorrhagic stroke was noted in 15 patients, 13 of whom had simultaneous infarcts, and the other 21 patients showed pure ischemic stroke and TIA. Fifteen patients had asymptomatic microbleeds. Fourteen patients experienced recurrent stroke, which consisted of SAH in 4, hematoma/massive hemorrhagic transformation from infarcts in 4 and pure infarction in 6. Ten patients (71%) in the recurrent group had hemorrhagic stroke for initial attack, while 5 in 22 (23%) of the non-recurrent group did (p<0.01). The recurrent group had a higher average age (18-82 years, median 68 years) than the non-recurrent group (23-75 years, median 51 years). No statistically significant differences between the non-recurrent and the recurrent groups were observed of a proportion of patients that were female and had, infarction, microbleeds, hypertension, diabetes, antithrombotic treatment, attachment of 10-mm or larger vegetations to damaged valves, isolation of staphylococcus aureus from blood, embolization to other organs than the brain and complication of meningitis/abscess. Conclusions: Hemorrhagic stroke, but not asymptomatic microbleeds, was associated with recurrent stroke after infective endocarditis. Duration of waiting for the safe heart operation after symptomatic hemorrhagic stroke can be in face of recurrent stroke.

scholarly journals P1474 Right or left; which sided the infective endocarditis is?

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A A Baskurt ◽  
E Ozpelit ◽  
Z Kumral ◽  
B Akdeniz
Keyword(s):  
Infective Endocarditis ◽  
Aortic Root ◽  
Right Atrium ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Transoesophageal Echocardiography ◽  
Right Atrial ◽  
Replacement Surgery ◽  
Reactive Protein ◽  
The Right

Abstract ABSTRACT Treatment and management of infective endocarditis (IE) depends on the side of involvement. Involvement of both sides of heart is rarely encountered. We describe one case of both sided infective endocarditis caused by staphylococcus auerus. In this case, the vegetation is thought to be on the right side of the heart at first examination by transthrorasic echocardiography (TTE). However; when examined more carefully with transoesophageal echocardiography (TEE), nothing was as it seemed. CASE PRESENTATİON A 86-year-old woman, who underwent mechanic aortic valve replacement surgery 11 years before, was admitted to emergency room with fever, dispnea and cough. Physical examination showed a temperature of 38.6. Electrocardiography showed a atrial fibrillation of 112 beats/min. Laboratory tests revealed an elevated C reactive protein of 211 mg/l. The patient was empirically treated with intravenous piperacillin-tazobactam and teicoplanin, by the recommendation of infection disease unit. Staphylococcus aureus grew in both bottles of blood cultures. A TTE showed severe tricuspid regurgitation with vegetation, mild aortic regurgitation and moderate mitral regurgitation with no clear vegetation. We decided perform TEE and realised the vegetation in the right atrium was originated from the right atrial wall not from the tricuspid valve. Then we also noticed a thickening in the walls of aortic root with systolic expansion. This finding was consistent with paraaortic abscess formation. The 3D TEE examination helped us to understand the origin of the vegetation in the right atrium. Because the wall of the right atrium which the vegetation arised from was in direct continuity with the infected aortic root. We conclude that the paraortic abscess was spread to the right atrium by neighborhood. After one week of IV antibiotics treatment, the patient undergone open heart surgery. The surgical inspection confirmed the echocardiographic diagnosis. DISCUSSION Echocardiography helps us in diagnosis, determination of side of involvement, and complications of infective endocarditis. Usually the endocarditis invole only one side of the heart: left or right. We have found only four cases of double-sided endocarditis in literature. Our case is the first one , in which we describe a direct extension of aortic root abscess to the right atrium. Abstract P1474 figure 1

scholarly journals Parachute Tricuspid Valve: A Case Treated by Open Heart Surgery

2016 ◽  
Vol 102 (5) ◽  
pp. e443-e445
Author(s):  
Akshay Gupta ◽  
Rajat Kalra ◽  
Reena Khantwal Joshi ◽  
Neeraj Aggarwal ◽  
Mridul Aggarwal ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Micra Transcatheter Pacing System Implant under Direct Visualization During Minimally Invasive Tricuspid Valve Surgery

2020 ◽  
Vol 3 (11) ◽  
pp. 01-04
Author(s):  
Mohamad Sinno
Keyword(s):  
Tricuspid Valve ◽  
Coronary Artery Bypass Surgery ◽  
Heart Surgery ◽  
Artery Bypass ◽  
Open Heart Surgery ◽  
Cardiac Pacing ◽  
Valve Surgery ◽  
Direct Visualization ◽  
Tricuspid Valve Surgery ◽  
Atrioventricular Nodal Conduction

Atrioventricular nodal conduction abnormalities are common after open heart surgery and more so during or after valve surgery. The incidence of atrioventricular (AV) block after tricuspid valve (TV) surgery is higher than what is observed following coronary artery bypass surgery or left sided valve interventions due to the proximity of the TV annulus to the AV node and hence requirements for cardiac pacing are high. However, the mechanical interference between pacing leads and TV leaflet mobility and coaptation can result in regurgitation rendering such an approach counterintuitive. We report a case of Micra Transcatheter pacing system (TPS) implant under direct visualization at the time of tricuspid valve surgery performed via a right mini-thoracotomy approach.

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