Lin Dishen, Mullan Clancy W, Deshmukh Uma, Bahtiyar Mert Ozan, Hosier Hillary, Lipkind Heather, Abdel-Razeq Sonya, Ranjan Saurabh, Lancaster Gilead, Pietras Colleen
Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
Department of Obstetrics, Gynecology, and Reproductive Science, Yale School of Medicine, New Haven, Connecticut.
J Card Surg. 2020 Sep;35(9):2392-2395. doi: 10.1111/jocs.14888. Epub 2020 Jul 27.
We report a case of intravenous drug use associated tricuspid valve endocarditis in a 28-year-old pregnant female at 26-week gestation.
Patient management required a multidisciplinary collaboration between cardiac surgery, obstetrics and gynecology, and neonatal critical care.
Despite appropriate intravenous antibiotics, the patient developed life-threatening complications and underwent planned cesarean delivery at 28 weeks 6 days gestation followed by interval tricuspid valve replacement 1 week later.
Both the patient and her infant were successfully managed through the perioperative period.