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Surgical Strategy in Tricuspid Valve Endocarditis

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Right Heart Pathology

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Abstract

Until recent years, the infective endocarditis of the right heart was considered extremely rare. In the last 20 years the incidence of this disease is increasing, especially for the isolated tricuspid valve infective endocarditis. Most frequent causes are: drug abuse, uterine infections, cardiac implantable electronic devices like pacemakers/defibrillators leads, other intracardiac devices or cardiac malformations. Medical treatment with antibiotics is the mainstay option but surgery is often required for a group of patients. Surgical interventions include valvectomy (total excision of the tricuspid valve without substitution), reconstruction or valve replacement. Surgical strategy in tricuspid valve endocarditis can produce satisfactory results. The clear indication and timing of surgery remain debatable. Association with intravenous antibiotics is of paramount importance. Conservative techniques are the first choice but replacement remains an option when repair is not feasible. However, there is no clear evidence supporting one technique over another.

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Titu Maiorescu University, Bucharest, Romania

    Horatiu Moldovan

  2. Department of Cardiovascular Biomaterials, Department of Science and Engineering in Biomaterials, Politehnica University of Bucharest (UPB), Bucharest, Romania

    Horatiu Moldovan

  3. Romanian Academy of Medical Sciences, Bucharest, Romania

    Horatiu Moldovan

  4. Department of Cardiovascular Surgery, Sanador Clinical Hospital, Bucharest, Romania

    Horatiu Moldovan

  5. Department of Cardiovascular Surgery, University of Medicine and Pharmacy, Cluj-Napoca, Romania

    Adrian Molnar

  6. Department of Cardiovascular Surgery, Heart Institute “Niculae Stancioiu”, Cluj-Napoca, Romania

    Adrian Molnar

  7. Department of Cardiovascular and Thoracic Surgery, POLISANO Hospital, Sibiu, Romania

    Victor Costache

  8. Department of Cardiology, “Prof. C.C. Iliescu” Emergency Institute for Cardiovascular Diseases Bucharest, Bucharest, Romania

    Ecaterina Bontaş

Authors
  1. Horatiu Moldovan
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  2. Adrian Molnar
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  3. Victor Costache
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  4. Ecaterina Bontaş
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Corresponding author

Correspondence to Horatiu Moldovan .

Editor information

Editors and Affiliations

  1. Department of Medicine, Titu Maiorescu University, Bucharest, Romania

    Silviu Ionel Dumitrescu

  2. Department of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Ion C. Ţintoiu

  3. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

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Moldovan, H., Molnar, A., Costache, V., Bontaş, E. (2018). Surgical Strategy in Tricuspid Valve Endocarditis. In: Dumitrescu, S., Ţintoiu, I., Underwood, M. (eds) Right Heart Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-73764-5_44

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  • DOI: https://doi.org/10.1007/978-3-319-73764-5_44

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