Pregnant intravenous drug user tricuspid valve infective endocarditis treated with a successful simultaneous valve replacement and Cesarean section

Echocardiography
Abdelkrim AhresPéter Andrássy

Abstract

A 30-year-old female patient known to be an intravenous drug user (IVDU) was admitted to Bajcsy-Zsilinszky Hospital Cardiology Intensive Care Unit at 29-week gestation with severe sepsis and right heart failure. She had methicillin-sensitive Staphylococcus aureus on blood culture. Echocardiography confirmed the diagnosis of tricuspid valve infective endocarditis (IE). She had acute deterioration and hemodynamic instability for which an emergency tricuspid valve replacement (TVR) with a simultaneous Cesarean section (CS) was performed simultaneously. Medical management is the standard treatment in IE of IVDU pregnant patients, but in case of life-threatening complications, emergency TVR and CS are to be considered. This is the first reported case of IVDU IE treated with simultaneous TVR and CS.

References

Feb 2, 2011·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S BasakD O C Anumba
Dec 19, 2013·PloS One·Leandro SlipczukVincent M Figueredo
Jul 6, 2014·Mayo Clinic Proceedings·Kalie Y KebedNandan S Anavekar

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Citations

Feb 9, 2021·Journal of Community Hospital Internal Medicine Perspectives·Robert LiberaChristine McCarty

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