Data Sheet 1_Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient—early diagnosis and treatment considerations.pdf

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.

本病例报告一例39岁有药物滥用史的妊娠女性，因确诊三尖瓣心内膜炎（tricuspid valve endocarditis）收治于心内科。经多学科团队（multidisciplinary team）评估后，确定采用抗生素治疗（antibiotherapy）的保守方案，期间对其妊娠状态予以密切监测。治疗4周后，患者出现剧烈胸痛及感染性心包积液（pericardial effusion），无需紧急手术干预。患者分娩1个月后再次入院，以完善术前准备流程。本次住院期间，多模态影像学检查（multimodal imaging）提示其右心室壁存在一处穿透性金属异物。患者随后转入心血管外科病房（Cardiovascular Surgery Unit），接受异物取出术及复杂三尖瓣修补手术。术后病程平稳，患者于2日后转出重症监护室（Intensive Care Unit，ICU）并出院。