Sunday, April 9, 2017

Tricuspid Valvectomy

This week I watched a Tricuspid Valvectomy. The patient was septic (bacteria in the bloodstream), and had Infective Endocarditis, Hepatitis C, and MRSA. Also as an intravenous drug addict, the patient was prone to these serious complications. Infective Endocarditis is caused by a bacterial infection in the heart and can result in inflammation of the valves, heart failure, and abscesses.



The patient had an abscess near the tricuspid valve and the swelling was preventing it from keeping blood from rushing backwards in the heart. Dr. Patel removed the abscess and the replaced the valve. The patient was given antibiotics after surgery.


4 comments:

  1. Hey Shreya, its really cool you’re getting to observe so many different surgeries! I was wondering, who is at risk for infective endocarditis? There are certain conditions that put you higher at risk?

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    1. People with an artificial valve, defects, damage to the heart, or a history of IV drug use (needles can have bacteria that cause IE) are all at the highest risk. If your heart is healthy, you are unlikely to get IE.

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  2. Hi Shreya! This is really cool! I had a question about infective endocarditis. Part of it kind of builds off of Shambhavi's question. Are there any causes of this besides the ones you have mentioned? Also, what are some symptoms and complications infective endocarditis can cause? Can the infection spread and cause damage to other parts of the body besides the heart as well?

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    1. If you have a damaged valve or defect in your heart, you are more likely to get IE since the bacteria multiplies and sticks to damaged tissues. According to Mayo Clinic, some symptoms are: changed heart murmur, shortness of breath, tenderness in the spleen, and swelling in the feet. IE can cause many major problems such as heart failure, stroke, and organ damage. The infection can spread and develop pus pockets (abscesses) on other organs.

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