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  • Title: [Extended tricuspid valve excision for active infective endocarditis associated with ventricular septal defect].
    Author: Tedoriya T, Akemoto K, Kasashima F, Ueyama T.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1993 Nov; 41(11):2266-9. PubMed ID: 8283105.
    Abstract:
    We report a patient of ventricular septal defect associated with a vegetations on the tricuspid valve and a perforation of the aortic cusp caused by infective endocarditis. Antibiotics could not relieve the high fever of this patient, and disseminated intravascular coagulation caused by sepsis and two-sided heart failure developed. She underwent extended tricuspid valve excision, aortic valve replacement and VSD closure during the active stage. Post-operative antibiotic therapy was continued intravenously for 6 weeks, and orally for 3 more weeks. Although post-operative right ventriculography indicated tricuspid regurgitation and right atrium enlargement, pressure study of the right side of the heart revealed normal hemodynamics.
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