Perioperative Management of Recurrent Fungal Tricuspid Endocarditis in a Young Patient Abusing Intravenous Drugs.

Perioperative Management of Recurrent Fungal Tricuspid Endocarditis in a Young Patient Abusing Intravenous Drugs.


Identification: TJC1029
Credits (Post Test and/or Evaluation Required)
Available until
  • 1.00 - Physician
  • 1.00 - Non-Physician

Standard: $15.00
ASE Members: $0.00

Description

October 29, 2019


8:00 PM - 9:00 PM (EST)

Hosted By: Dr. Ritu Thamman

CME Information: 1.0 Credit

Introduction

Right-sided infective endocarditis (IE) accounts for 5% to 10% of cases of endocarditis, and it is most often seen on the tricuspid valve (TV) of patients with intracardiac devices (central lines, pacemaker wires) or with histories of intravenous drug use (IDU). Among these cases, 70% to 85% will resolve with conservative treatment. The most common surgical intervention in the IDU population is radical debridement with TV repair. Insertion of prosthetic material is usually avoided because of the risk for reinfection related to drug-use relapse; if the TV repair fails, tricuspid valvectomy is an option when the patient is otherwise healthy. Following a period of recovery and abstinence from drugs, a bioprosthesis can be implanted after valvectomy once the patient has achieved sobriety. This case report describes the perioperative care of a young patient with IDU and tricuspid endocarditis on a bioprosthesis who underwent a tricuspid valvectomy.

Learning Objectives

After completing this activity, participants should be better able to:

  • Idenitfy that most cases of right-sided endocarditis resolve with conservative medical treatment.
  • Recall that the mortality of fungal endocarditis is high, and surgical treatment is indicated.
  • Recall that tricuspid valvectomy is a surgical alternative in drug-abusing patients

**IMPORTANT: Registration Instructions**

  • Registration is required to receive credit. All credit must be claimed within 30 days of the event date.

Credits

  • 1.00 - Physician
  • 1.00 - Non-Physician

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