Eleven years ago, a 27-year-old non-drug abuser woman was admitted to the hospital due to a burn injury. During the treatment, she was diagnosed with tricuspid valve infective endocarditis caused by multi-drug resistant (MDR) Pseudomonas aeruginosa (P. aeruginosa). She underwent tricuspid valve replacement (TVR) using a bioprosthetic valve, followed by 6 weeks of meropenem antibiotic therapy. T...

Owing to its versatile, non-invasive, radiation-free, and low cost nature, Doppler echocardiography is undoubtedly the method of choice to evaluate prosthetic valve function. This evaluation follows the same principles used for the evaluation of native valves, with some important specifics and caveats described in this article. A complete echocardiography includes two dimensional imaging of the...

Prosthetic tricuspid valve is an obstacle to implant cardiac devise. Cardiac Resynchronization therapy is one of the most popular therapies for heart failure patients these days. We present this case of prosthetic tricuspid valve and left ventricular dysfunction which we overcome the problem by implanting two leads to coronary sinus branches. Patient improved in few months of follow up.

BACKGROUND Pregnant women with a mechanical heart valve (MHV) are at a heightened risk of a thrombotic event, and their absolute need for adequate anticoagulation puts them at considerable risk of bleeding and, with some anticoagulants, fetotoxicity. METHODS AND RESULTS Within the prospective, observational, contemporary, worldwide Registry of Pregnancy and Cardiac disease (ROPAC), we describ...

Prosthetic valve thrombosis (PVT) is classically a cardiothoracic surgical emergency. Case series, however, report thrombolysis as first line management for PVT. A case of mitral PVT treated successfully with thrombolysis is described. Immediately after thrombolysis a trivial paraprosthetic leak noted on pretreatment transoesophageal echocardiography had increased significantly in severity. The...

The authors agree with Myers et al. [1] that biodegradable materials represent a useful alternative in the management of tricuspid valve endocarditis repair. Our statement of dividing tricuspid valve repair choices in prosthetic and non-prosthetic techniques adequately sets the main cornerstones of surgical therapy: first, minimizing, as much as possible, the resulting valve regurgitation follo...

AIM Patients with organic disease can present with psychiatric symptoms. We hypothesized that since patients with prosthetic heart valve require frequent hospital followup and are at higher risk for complications, the incidence of depression and anxiety is higher in these patients. METHODS This cross-sectional study prospectively studied 98 consecutive patients with mechanical prosthetic hear...

tive prosthetic orifice size may have to be performed at least a few weeks after valve insertion. Second, in some patients, the problem is compounded by the small size of the annulus compared with the size of the patient. My article was not written just to highlight the difficulties of a small aortic annulus. Dr. Kinsley's ability to insert a prosthetic valve size commensurate with the patient'...

ment? J Am Soc Echocardiograph 2009;8:895–8. 12. Ionescu AA, Moreno de la Santa P, Dunstan FD, Butchart EG, Fraser AG. Mobile echoes on prosthetic valves are not reproducible. Eur Heart J 1999;20: 140–7. 13. Kiavar M, Sadeghpour A, Bakhshandeh H, Bassiri HA, Tayyebi P, Esmaeilzadeh M et al. Are prosthetic valve fibrin strands negligible? The associations and significance. J Am Soc Echocardiogr ...