Infectious tricuspid valve endocarditis in a chronic hemodialysis patient; report of a case
Yoshida, H.; Sugimoto, H.; Tanaka, K.; Iritani, O.; Goh, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 59(3): 235-237
2006
ISSN/ISBN: 0021-5252 PMID: 16528998 Document Number: 595952
We report a rare case of isolated infectious tricuspid valve endocarditis. A 67-year-old male patient with chronic renal failure complained of fever up to 38 degrees C after hemodialysis. WBC was not elevated, but CRP was increased. Transthoracic and transesophageal echocardiography for investigating his chest discomfort demonstrated a large 13 x 25 mm vegetation on the tricuspid valve. Blood culture was negative. The tricuspid valve was replaced with a bioprosthetic valve. The extensive vegetation was found in the anterior, septal and posterior cusps and diagnosed as infectious endocarditis pathologically. The postoperative course was uneventful. WBC and CRP remained normal 9 months after surgery and no signs of recurrence were observed. The cause of the infectious endocarditis seemed to be the insertion of a double lumen catheter for dialysis or the puncture of the arteriovenous shunt.