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Author (up) Aoyagi, S.; Oda, T.; Fukuda, H.; Zaima, Y.; Nakamura, E.; Yasunaga, H.
Title Isolated Tricuspid Valve Endocarditis Caused by Infection of an Implanted Central Venous Access Port Device Type Journal Article
Year 2016 Publication The Kurume Medical Journal Abbreviated Journal Kurume Med J
Volume 62 Issue 1-2 Pages 37-40
Keywords Aged; Anti-Bacterial Agents/therapeutic use; Cardiac Valve Annuloplasty; Catheter-Related Infections/diagnosis/drug therapy/*microbiology; Catheterization, Central Venous/*adverse effects/*instrumentation; Catheters, Indwelling/*adverse effects; Central Venous Catheters/*adverse effects; Echocardiography, Doppler; Endocarditis, Bacterial/diagnostic imaging/*microbiology/therapy; Heart Valve Prosthesis Implantation; Humans; Male; Methicillin-Resistant Staphylococcus aureus/drug effects/*isolation & purification; Staphylococcal Infections/diagnosis/drug therapy/*microbiology; Treatment Outcome; Tricuspid Valve/diagnostic imaging/*microbiology/surgery
Abstract A 70-year-old man was referred to our hospital for an intermittent high fever attributed to subcutaneous pocket infection of an implanted central venous access port device caused by methicillin-resistant staphylococcus aureus and subsequent bloodstream infection. Echocardiography revealed a large vegetation on the posterior tricuspid leaflet, annular dilatation and moderate-to-severe tricuspid regurgitation. Valve surgery was performed for persistent infection despite 8 weeks of antibiotics therapy. At operation, vegetations and torn chordae tendineae were found on the posterior tricuspid leaflet. After total resection of the posterior tricuspid leaflet, bicuspidalization valvuloplasty with prosthetic ring annuloplasty was achieved without relapse of the infection or residual regurgitation.
Address Department of Cardiovascular Surgery, St. Mary's Hospital
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0023-5679 ISBN Medium
Area Expedition Conference
Notes PMID:26935569 Approved no
Call Number ref @ user @ Serial 99550
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