Unmasking Severe Tricuspid Valve Regurgitation After Percutaneous Debulking of Large Tricuspid Vegetation

Adrian Mercado-Alamo; Hemindermeet Singh; Howard Rosman; Rajendra Mehta; Thomas Lalonde; Amir Kaki

doi:10.1016/j.jaccas.2020.05.035

Unmasking Severe Tricuspid Valve Regurgitation After Percutaneous Debulking of Large Tricuspid Vegetation

JACC Case Rep. 2020 Jul 22;3(5):818-822. doi: 10.1016/j.jaccas.2020.05.035. eCollection 2021 May.

Authors

Adrian Mercado-Alamo¹, Hemindermeet Singh¹, Howard Rosman¹, Rajendra Mehta^{1

2}, Thomas Lalonde¹, Amir Kaki¹

Affiliations

¹ Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA.
² Duke Clinical Research Institute, Durham, North Carolina, USA.

Abstract

A 27-year-old man admitted with tricuspid valve endocarditis with a large vegetation, persistent bacteremia, and pulmonary and systemic septic embolization was deemed not a suitable surgical candidate. He underwent percutaneous vegetation debulking using the AngioVac system. The patient defervesced post-operatively with clinical improvement but with abruptly worsened tricuspid regurgitation. (Level of Difficulty: Beginner.).

Keywords: AngioVac System; MRSA, methicillin-resistant Staphylococcus aureus; TEE, transesophageal echocardiogram; TR, tricuspid regurgitation; TV, tricuspid valve; debulking; echocardiography; endocarditis; treatment; tricuspid valve.

Publication types

Case Reports