Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis

Infective endocarditis is a serious complication of intravenous (IV) drug abuse, with a reported mortality of 5 to 10%. A 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. Transthoracic echocardiography showed a highly mobile, large vegetation on the anterior lea...

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Main Authors: Khallil Zarrabie, Yadallah Mahmoody, Ali Reza Moaref
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2010-05-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15538.pdf&manuscript_id=15538
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author Khallil Zarrabie
Yadallah Mahmoody
Ali Reza Moaref
author_facet Khallil Zarrabie
Yadallah Mahmoody
Ali Reza Moaref
author_sort Khallil Zarrabie
collection DOAJ
description Infective endocarditis is a serious complication of intravenous (IV) drug abuse, with a reported mortality of 5 to 10%. A 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. Transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. Despite antibiotic therapy for ten days, the patient remained febrile. Transesophageal echocardiography revealed severe aortic regurgitation and an echo-lucent space between the tricuspid and aortic valves. Color Doppler demonstrated a flow within the echo-lucent space and a connection between that and the left ventricle, suggesting a perivalvular abscess of the tricuspid valve opening in the left ventricle. The patient was transferred to the operating room, where he unfortunately expired.
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spelling doaj.art-ab26e8aa695e4cb9bd070e796bf711512022-12-22T02:44:48ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202010-05-015298100Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective EndocarditisKhallil ZarrabieYadallah MahmoodyAli Reza MoarefInfective endocarditis is a serious complication of intravenous (IV) drug abuse, with a reported mortality of 5 to 10%. A 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. Transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. Despite antibiotic therapy for ten days, the patient remained febrile. Transesophageal echocardiography revealed severe aortic regurgitation and an echo-lucent space between the tricuspid and aortic valves. Color Doppler demonstrated a flow within the echo-lucent space and a connection between that and the left ventricle, suggesting a perivalvular abscess of the tricuspid valve opening in the left ventricle. The patient was transferred to the operating room, where he unfortunately expired.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15538.pdf&manuscript_id=15538EndocarditisTricuspid ValveAbscess
spellingShingle Khallil Zarrabie
Yadallah Mahmoody
Ali Reza Moaref
Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
Journal of Tehran University Heart Center
Endocarditis
Tricuspid Valve
Abscess
title Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
title_full Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
title_fullStr Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
title_full_unstemmed Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
title_short Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis
title_sort perivalvular abscess of tricuspid valve a rare complication of infective endocarditis
topic Endocarditis
Tricuspid Valve
Abscess
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/15538.pdf&manuscript_id=15538
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AT alirezamoaref perivalvularabscessoftricuspidvalveararecomplicationofinfectiveendocarditis