Tricuspid valve replacement in an HIV-infected patient: With severe tricuspid regurgitation secondary to remote endocarditis

Merle Myerson, Ehrin J. Armstrong, Eduard Poltavskiy, Jose Fefer, Heejung Bang

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Surgical intervention for severe tricuspid regurgitation secondary to remote infective endocarditis has been infrequent, especially in patients also infected with the human immunodeficiency virus (HIV). We describe the case of a 62-year-old HIV-positive man, with a 24-year history of endocarditis caused by intravenous heroin use, who presented with severe tricuspid regurgitation. The patient was initially asymptomatic, was taking antiretroviral medications, and had a satisfactory CD4 count and an undetectable viral load, so we decided to manage the regurgitation conservatively. Two years later, he presented with biventricular heart failure and dyspnea. After surgical tricuspid valve replacement, his condition improved substantially. This case illustrates that HIV-infected patients with complex medical conditions can successfully undergo cardiac surgery.

Original languageEnglish (US)
Pages (from-to)514-516
Number of pages3
JournalTexas Heart Institute Journal
Volume43
Issue number6
DOIs
StatePublished - Dec 1 2016

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Keywords

  • Disease management
  • Endocarditis, bacterial/physiopathology
  • Heart valve diseases/complications/ etiology/surgery/ therapy
  • HIV infections/ complications
  • Risk factors
  • Treatment outcome
  • Tricuspid valve/surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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