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  • Title: [Tricuspid valve replacement for infective endocarditis in drug addict--a case report].
    Author: Yanagiya A, Kazui T, Mawatari T.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1995 Nov; 43(11):1841-4. PubMed ID: 8522870.
    Abstract:
    For right-sided endocarditis associated with drug abuse a successful treatment by tricuspid valve replacement was reported. A 34-year-old female who had a history of intravenous drug use for 14 years was admitted with complaints of chest pain, fever and dyspnea. A large vegetation about 47 mm in size attached to the tricuspid valve with tricuspid regurgitation was detected by echocardiography. Methicillin-resistant staphylococcus aureus was isolated in a blood culture. Because infection was persistent and uncontrollable in spite of sensitive multiple antibiotic regimens, tricuspid valve replacement using a St. Jude Medical valve was successfully performed with excision of markedly destroyed leaflets and debridement of the infectious lesions. After surgery the patient has been free from infection for 3 years.
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