Skip Navigation

European Journal of Echocardiography 2006 7(3):235-238; doi:10.1016/j.euje.2005.04.005
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Van de Veire, N. R.
Right arrow Articles by Gillebert, T. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Van de Veire, N. R.
Right arrow Articles by Gillebert, T. C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Copyright © 2005, The European Society of Cardiology

Right sided infective endocarditis: Tempus fugit!

Nico R. Van de Veire*, An-Kristin Ascoop, Michel De Pauw, Johan De Sutter and Thierry C. Gillebert

Department of Cardiovascular Diseases, Ghent University, Ghent, Belgium

Received 6 January 2005; received in revised form 5 April 2005; accepted after revision 20 April 2005.

* Corresponding author. University Hospital, De Pintelaan 185, 9000 Ghent, Belgium. Tel.: +32 9 240 51 46; fax: + 32 9 240 44 32. nico.vandeveire{at}ugent.be


  Abstract

We report a case of an intravenous drug user who already had a tricuspid bioprosthesis implanted after an infective endocarditis with massive tricuspid regurgitation one year ago. Now he presents with a large mass on the atrial side of the bioprosthesis that led to obstruction; hemocultures contained Enterococcus faecalis. After one-week therapy with antibiotics, aspirin and enoxaparin the mass untangled to a swinging structure and moderate to severe triscupid regurgitation developed; surgery appeared inevitable. After two weeks however the mass was gone, tricuspid insufficiency subsided and the patient became asymptomatic. This case illustrates the potential but controversial role of anticoagulation in the treatment of patients with infective endocarditis.

Keywords: Infective endocarditis; Right sided endocarditis; Intravenous drug use


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.