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

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

JACC: Case Reports (May 2021)

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

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

Affiliations

Adrian Mercado-Alamo, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA; Address for correspondence: Dr. Adrian Mercado-Alamo, Division of Cardiology, Ascension St. John, 421 Chalfonte Avenue, Grosse Pointe Farms, Michigan 48236, USA.
Hemindermeet Singh, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA
Howard Rosman, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA
Rajendra Mehta, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA; Duke Clinical Research Institute, Durham, North Carolina, USA
Thomas Lalonde, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA
Amir Kaki, MD: Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA

Journal volume & issue: Vol. 3, no. 5
pp. 818 – 822

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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