Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Cardiovascular Sciences, cilt.25, sa.3, ss.175-178, 2013 (Scopus)
Isolated native tricuspid valve endocarditis which is rare amongst all valve endocarditis is a predispozing factor for disseminated intravascular coagulopathy. In patients with tricuspid valve endocarditis, ocurrance of disseminated intravascular coagulopathy is a factor of increased mortality and morbidity. We present a case of tricuspid valve endocarditis with development of disseminated intravascular coagulopathy of an active intravenous drug user with a normal heart morphology. After the patient was diagnosed as tricuspid valve endocarditis, surgical therapy was decided for occurrance of sepsis despite continuation of antibiotherapy appropriate for blood culture for two weeks, recurrent pulmonary embolic events, increase of findings for right heart failure and disseminated intravascular coagulopathy. The patient was administered thrombocyte and fresh frosen plasma before and after the operation. Tricuspid annuloplasty and valvuloplasty were performed after total resection of the vegetation and partial excision of the anterior leaflet. This type of tricuspid valve sparing operation helped to control the infection in a short time and resul -ted in recovery from disseminated intravascular coagulopathy. We consider proper timing of ope -ration as a necessity to prevent from complications like disseminated intravascular coagulopathy for patients with tricuspid valve endocarditis. Copyright © 2013 by Türkiye Klinikleri.