Shinji Kamiya, Miki Asano*, Hisao Suda, Yosuke Nakai, Yoshiharu Mori, Baku Takahashi, Shota Masaki and Akira Mishima
Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, JapanFulltext PDF
Isolated tricuspid valve infective endocarditis occurs quite infrequently and differs from left-sided infective endocarditis in several aspects. Medical therapy is very effective and surgical intervention is a rare clinical entity for this subset of patients. However, the operative mortality is similar to that of left-sided infective endocarditis. It might be the reason that the surgical indications for tricuspid valve infective endocarditis are not well defined. The predisposing conditions such as hematological malignancy for right-sided infective endocarditis also affect complications of open heart surgery. We experienced a 56-year-old female with the association of tricuspid valve infective endocarditis and myelodysplastic syndrome. Surgery comprising vegetectomy and tricuspid valve repair was successfully employed after the failure of medical treatment due to deterioration of immunity by myelodysplastic syndrome.
Endocarditis; Surgery; Myelodysplastic syndrome; Cardiology
Kamiya S, Asano M, Suda H, Nakai Y, Mori Y, Takahashi B, et al. Surgery of Tricuspid Valve Infective Endocarditis Associated with Myelodysplastic Syndrome. Clin Surg. 2019; 4: 2538.