Abstract
The authors report a case of tricuspid endocarditis complicating a congenital coronary artery fistula to the right ventricle in an eight-year-old female. The patient underwent valve replacement using a cryopreserved mitral homograft. Six months later, clinical and echocardiographic status are excellent. Using a mitral homograft for tricuspid endocarditis is a recognized approach in adults, whereas in pediatric cases it is exceptional. Homografts could prove to be a valid procedure in children when repair is not feasible, although one could expect a more rapid deterioration.
MeSH terms
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Child
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Coronary Vessels*
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Coxiella burnetii
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Echocardiography, Doppler, Color
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / microbiology
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Endocarditis, Bacterial / surgery*
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Female
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Fistula / complications*
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Fistula / congenital
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Fistula / diagnostic imaging
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Follow-Up Studies
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Heart Valve Prosthesis / methods*
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Heart Ventricles*
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Humans
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Mitral Valve
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Pulmonary Embolism / complications
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Pulmonary Embolism / diagnostic imaging
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Pulmonary Embolism / surgery
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Q Fever / etiology
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Q Fever / surgery
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Recurrence
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Transplantation, Homologous
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Tricuspid Valve Insufficiency / complications
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Tricuspid Valve Insufficiency / diagnostic imaging
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Tricuspid Valve Insufficiency / surgery*