Management of Patients With Tricuspid Valve Endocarditis and Ongoing Intravenous Drug Abuse: Less Is More

Yazan Aljabery; Firas Al Badarin; Yosef Manla; Amani Khalouf; Adam M Khalil; Gopal Bhatnagar; Mohammed E Khalil

doi:10.1016/j.jaccas.2023.101751

Management of Patients With Tricuspid Valve Endocarditis and Ongoing Intravenous Drug Abuse: Less Is More

JACC Case Rep. 2023 Mar 15:10:101751. doi: 10.1016/j.jaccas.2023.101751.

Authors

Yazan Aljabery¹, Firas Al Badarin¹, Yosef Manla¹, Amani Khalouf¹, Adam M Khalil¹, Gopal Bhatnagar¹, Mohammed E Khalil¹

Affiliation

¹ Cleveland Clinic, Abu Dhabi, United Arab Emirates.

Abstract

Right-sided infective endocarditis in patients with intravenous drug abuse portends a worse prognosis. Data on optimal management strategy in this situation are scarce. We describe outcomes of 2 different treatment strategies, including a patient treated conservatively with favorable intermediate-term results and another who was treated surgically and developed recurrent endocarditis. (Level of Difficulty: Intermediate.).

Keywords: infective endocarditis; intravenous drug user; lung abscess; tricuspid valve.

Publication types

Case Reports