Tricuspid Valve Repair for Active Infective Endocarditis Complicated by Vertebral Osteomyelitis and a Pancreatic Abscess

(Department of Cardiovascular Surgery, Takeda General Hospital Foundation, Aizuwakamatsu, Japan)

Keitaro Watanabe Satoru Maeba Takahiro Taguchi
A 65-year-old man was admitted with a high fever and back pain. Because magnetic resonance imaging revealed osteomyelitis in the lumbar spine, we started antibiotic therapy. Echocardiography revealed large vegetation on the tricuspid valve, and abdominal contrast computed tomography revealed a pancreatic abscess. As the vegetation increased in size and mobility it became non-responsive to medical treatment, and surgical removal of the vegetation with tricuspid valve repair were therefore performed. After additional antibiotic therapy, he was discharged 42 days after surgery. No further recurrence of endocarditis has been observed as of the time of writing.
  Jpn. J. Cardiovasc. Surg. 39:328-331(2010)

Keywords:infective endocarditis, vertebral osteomyelitis, tricuspid valve repair, pancreatic abscess