Korean J Thorac Cardiovasc Surg.
2003 Oct;36(10):776-779.
Operation of Tricuspid Valve Endocarditis with Pulmonary Infarction: Lobectomy with Open Heart Surgery
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Pochon CHA University, Gumi CHA Hospital, Korea. doa1224@intizen.com
- 2Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Korea.
Abstract
- An eight-year-old boy was referred to our hospital with cough and high fever. His past medical history included a small sized ventricular septal defect (VSD) at birth. Transthoracic echocardiography disclosed a 10x6 mm vegetation on tricuspid valve, a small VSD and the moderate tricuspid valve insufficiency were found. Blood cultures grew methicillin-resistant staphylococcus aureus. Despite proper antibiotic therapy, fever was not controlled and his course was complicated by pulmonary infarction. The patient simultaneously underwent pulmonary resection and open heart surgery. Through the median sternotomy we performed open thrombectomy and lobectomy (right lower lobe) at first, and then vegetectomy, tricuspid valve repair, and direct closure of VSD were done under cardiopulmonary bypass.
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