Right-sided infective endocarditis: surgical management

Right-sided infective endocarditis: surgical management.

Right-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis and is predominantly encountered among injecting drug users (IDUs). RSIE diagnosis requires a high index of suspicion as respiratory symptoms predominate. Prognosis of isolated RSIE is favourable, and most cases (70-80%) resolve following antibiotic administration. Surgical intervention is indica...

[Surgical treatment of isolated right-sided infective endocarditis].

OBJECTIVE To analyze the surgical treatment and outcomes of isolated right-sided infective endocarditis. METHODS From January 1994 to February 2009, 28 patients with isolated right-sided infective endocarditis underwent operation whose clinical data was retrospectively reviewed. There were 18 male and 10 female, age ranged from 10 to 72 years with a mean of 38 years. All of the patients prese...

Right-sided infective endocarditis: recent epidemiologic changes.

BACKGROUND Infective endocarditis (IE) has been increasingly reported, however, little is available regarding recent development of right-sided IE. METHODS Right-sided IE was comprehensively analyzed based on recent 5⅓-year literature. RESULTS Portal of entry, implanted foreign material, and repaired congenital heart defects were the main predisposing risk factors. Vegetation size on the ri...

Right sided infective endocarditis: tempus fugit!

We report a case of an intravenous drug user who already had a tricuspid bioprosthesis implanted after an infective endocarditis with massive tricuspid regurgitation one year ago. Now he presents with a large mass on the atrial side of the bioprosthesis that led to obstruction; hemocultures contained Enterococcus faecalis. After one-week therapy with antibiotics, aspirin and enoxaparin the mass...

Surgical Management of Infective Endocarditis