Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations
We report the case of a 39-year-old pregnant woman with a history of drug abuse who was admitted to the cardiology department with a diagnosis of tricuspid valve endocarditis. After the multidisciplinary team decided on a conservative treatment with antibiotherapy, the pregnancy was closely monitore...
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| Format: | Article |
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1607408/full |
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| author | Andreea Blindaru Andreea Blindaru Ruxandra Copciag Ruxandra Copciag Florin Anghel Florin Anghel Andrei Danet Andrei Danet Radu Isailă Tudor Borjog Anca Andronic Dragos Vinereanu Dragos Vinereanu Catalin-Constantin Badiu Catalin-Constantin Badiu |
| author_facet | Andreea Blindaru Andreea Blindaru Ruxandra Copciag Ruxandra Copciag Florin Anghel Florin Anghel Andrei Danet Andrei Danet Radu Isailă Tudor Borjog Anca Andronic Dragos Vinereanu Dragos Vinereanu Catalin-Constantin Badiu Catalin-Constantin Badiu |
| author_sort | Andreea Blindaru |
| collection | DOAJ |
| description | We report the case of a 39-year-old pregnant woman with a history of drug abuse who was admitted to the cardiology department with a diagnosis of tricuspid valve endocarditis. After the multidisciplinary team decided on a conservative treatment with antibiotherapy, the pregnancy was closely monitored. After 4 weeks of treatment, the patient developed extreme thoracic pain and pericardial effusion that was considered infectious and did not require urgent surgery. One month after giving birth to her baby, the patient was admitted to our hospital for the completion of the preoperative protocol. During this admission, multimodal imaging revealed a penetrating metallic foreign body in the wall of the right ventricle. The patient was finally admitted to the Cardiovascular Surgery Unit, where she underwent surgical removal of the foreign body and a complex tricuspid valve repair. The postoperative course was uneventful, and our patient was discharged from the ICU 2 days later. |
| format | Article |
| id | doaj-art-ef2c5c012f094e49b80d7d38aee10772 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-ef2c5c012f094e49b80d7d38aee107722025-08-20T03:31:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-07-011210.3389/fcvm.2025.16074081607408Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerationsAndreea Blindaru0Andreea Blindaru1Ruxandra Copciag2Ruxandra Copciag3Florin Anghel4Florin Anghel5Andrei Danet6Andrei Danet7Radu Isailă8Tudor Borjog9Anca Andronic10Dragos Vinereanu11Dragos Vinereanu12Catalin-Constantin Badiu13Catalin-Constantin Badiu14Department of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Cardiology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Anesthesiology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Cardiology, University Emergency Hospital Bucharest, Bucharest, RomaniaDepartment of Cardiovascular Surgery, University Emergency Hospital Bucharest, Bucharest, RomaniaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaWe report the case of a 39-year-old pregnant woman with a history of drug abuse who was admitted to the cardiology department with a diagnosis of tricuspid valve endocarditis. After the multidisciplinary team decided on a conservative treatment with antibiotherapy, the pregnancy was closely monitored. After 4 weeks of treatment, the patient developed extreme thoracic pain and pericardial effusion that was considered infectious and did not require urgent surgery. One month after giving birth to her baby, the patient was admitted to our hospital for the completion of the preoperative protocol. During this admission, multimodal imaging revealed a penetrating metallic foreign body in the wall of the right ventricle. The patient was finally admitted to the Cardiovascular Surgery Unit, where she underwent surgical removal of the foreign body and a complex tricuspid valve repair. The postoperative course was uneventful, and our patient was discharged from the ICU 2 days later.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1607408/fullheart foreign bodyneedle fragmentIVDU endocarditistricuspid injurytricuspid repair |
| spellingShingle | Andreea Blindaru Andreea Blindaru Ruxandra Copciag Ruxandra Copciag Florin Anghel Florin Anghel Andrei Danet Andrei Danet Radu Isailă Tudor Borjog Anca Andronic Dragos Vinereanu Dragos Vinereanu Catalin-Constantin Badiu Catalin-Constantin Badiu Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations Frontiers in Cardiovascular Medicine heart foreign body needle fragment IVDU endocarditis tricuspid injury tricuspid repair |
| title | Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations |
| title_full | Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations |
| title_fullStr | Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations |
| title_full_unstemmed | Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations |
| title_short | Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations |
| title_sort | case report complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an ivdu patient early diagnosis and treatment considerations |
| topic | heart foreign body needle fragment IVDU endocarditis tricuspid injury tricuspid repair |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2025.1607408/full |
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