Article

lock Open Access lock Peer-Reviewed

1

Views

CASE REPORT

Conservative operation of tricuspide valve for the treatment of infective endocarditis

Pablo M. A PomerantzeffI; Ricardo Barros CorsoI; Alfredo José MansurI; José Otávio C Auler JúniorI; Max GrinbergI; Noedir A. G StolfI; Adib D JateneI

DOI: 10.1590/S0102-76381993000400007

ABSTRACT

Valve replacement and excision without using a prosthesis are the two mostfrequently used surgical techniques for the treatment of infective endocarditis of the tricuspid valve. Conservative operation with preservation of the native valve and resection of the infected tissue is a more recent approach, which is becoming the procedure of choice whenever feasible, specialy in intravenous drug abusers. Two cases of tricuspid valve reconstruction with good results are reported. One of the patients has also been aorto coronary bypassed at the same operation time.

RESUMO

O comprometimento valvar direto do coração pela endocardite infecciosa, com indicação cirúrgica, tem sido classicamente tratada por excisão da valva e tecidos adjacentes comprometidos, associada ou não a implante de prótese. Dois casos de operação conservadora em endocardite infecciosa da valva tricúspide com 42 e 3 meses de evolução são descritos. Os autores discutem as vantagens de, quando possível, não retirar toda a valva tricúspide na endocardite bacteriana.
Full text available only in portuguese PDF format.

REFERENCES

1. ALLEN, M. D.; SLACHMAN, F.; EDDY, C. S.; COHEN, D.; OTTO, C. M.; PEARLMAN, A. S. - Tricuspid valve repair for tricuspid valve endocarditis: tricuspid valve recycling. Ann. Thorac. Surg., 51: 593-598, 1991. [MedLine]

2. ANDERSON, J. R.; SCOTT, P.; NAIR, R. U. - Conservative surgery in multiple cusp involvement in tricuspid valve endocarditis. Br. Heart. J., 66: 244-245, 1991. [MedLine]

3. ARBULU, A.; HOLMES, R. J.; ASFAW, I. - Tricuspid valvulectomy without replacement: twenty years' experience. J. Thorac Cardiovasc. Surg., 102: 917-922, 1991. [MedLine]

4. ARBULU, A.; THOMS, N. W.; CHISTANO, A.; WILSON, R. F. - Total tricuspid valvulectomy without replacement in the treatment of pseudomonas endocarditis. Surg. Forum, 22: 162-164, 1971. [MedLine]

5. CACHERA, J. P.; LOISANCE, D.; MOUTARDA, A.; CASTANIÉ, J. B.; HEURTEMATTE, Y. - Surgical techniques for treatment of bacterial endocarditis of the mitral valve. J. Card. Surg., 2: 265-274, 1978.

6. CHANDRARATNA, P. A. N.; REAGAN, R. B.; IMAIZUMI, T.; LANGEVIN, E.; ELKINS, R. C. - Infective endocarditis cured by ressection of a tricuspid valve vegetation. Ann. Int. Med., 89: 517-518, 1978.

7. COSTA, I. A.; MULASKI, J. C.; LOPES, L. R. M.; CUNHA, C. P.; SOUZA, A. M. - Cirurgia conservadora da endocardite bacteriana aguda da valva tricúspide. Rev. Bras. Cir. Cardiovasc., 3: 125-129, 1988.

8. DREYFUS, G.; SERRA, F. A.; JEBARA, V. A.; DELOCHE, A.; CHAVAUD, S.; COVETIL, J. P.; CARPENTIER, A. - Valve repair in acute endocarditis. Ann. Thorac. Surg., 49: 706-713, 1990.

9. FLEISHER, A.; DAVID, I.; MOGTADER, A.; HUTCHINNSON, J. E. - Mitral valvuloplasty and repair for infective endocarditis. J. Thorac. Cardiovasc. Surg., 93: 311-315, 1987. [MedLine]

10. GAMMAGE, M. D.; LITTLER, W.; ABRAMS, L. D. - Conservative surgery of the mitral valve in bacterial endocarditis. Thorax., 39: 868-871, 1984. [MedLine]

11. HUGHES, C. F. & NOBLE, N.; VEGETECTOMY: an alternative surgical treatment for infective endocarditis of the atrioventricular valves in drug addictis. J. Thorac. Cardiovasc. Surg., 95: 857-861, 1988. [MedLine]

12. JAGGER, J. D.; Mc CAUGHAN, B.C.; PAWSEY, C. G. K. - Tricuspid valve endocarditis cured by excision of a single vegetation. Am. Heart. J., 112, 626-627, 1986. [MedLine]

13. JUNG, J. Y.; SAAB, S. B.; ALMOND, C. H. - The case for early surgical treatment of left-side primary infective endocarditis: a collective review. J. Thorac. Cardiovasc. Surg., 70: 509-518, 1975. [MedLine]

14. KAY, J. H.; BERNSTEIN, S.; FEINSTEIN, D.; BIDDLE, M. - Surgical cure of Candida Albicans endocarditis with open-hearat surgery. N. Engl. J. Med., 264: 907-910, 1961. [MedLine]

15. MANHAS, D. R.; MOHRI, H.; HASSEL, E. A.; MERENDINO, K. A. - Experience with surgical management to primary infective endocarditis: a collected review of 130 patients. Am. Heart. J., 84: 738-747, 1972. [MedLine]

16. RIBEIRO, P. J. F.; EVORA, P. R. B.; BRASIL, J. C. F.; SGARBIERI, R. N.; BONGIOVANI, H. L.; AMARAL, F. T. V. - Abordagem cirúrgica na endocardite bacteriana da valva tricúspide em chancas: relato de dois casos. Arq. Bras. Cardiol., 52: 153-157, 1989. [MedLine]

17. STRAUSMANN, E.; STULZ, P.; JENZER, H. R. - Tricuspid valve endocarditis in the drug addict: a reconstructive approach ("Vegetectomy"). Thorac. Cardiovasc. Surgeon, 38: 291-294, 1990.

18. TURKLEY, K. - Surgery of right-sided endocarditis: valve preservation versus replacement journal of cardiac surgery, 4: 317-320, 1989. [MedLine]

19. YEE, E. S. & ULLYOT, D. J. - Reparative approach for right-sided endocarditis. J. Thorac. Cardiovasc. Surg., 96: 133-140, 1988. [MedLine]

Article receive on Wednesday, December 1, 1993

CCBY All scientific articles published at bjcvs.org are licensed under a Creative Commons license

Indexes

All rights reserved 2017 / © 2024 Brazilian Society of Cardiovascular Surgery DEVELOPMENT BY