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Interventional Cardiology  (Expert Forum)
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endocarditis patient
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Truman Medical Center MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

endocarditis patient

by mickim, Oct 04, 2008 03:34PM
My daughter, now 19, had endocarditis when she was 6. She had a blood clot lodged on her tricuspid valve. It dislodged and went in to her lung causing it to collapse.  After antibiotics she recovered and was eventually released from cardiac care with no restictions.  There was not a detectable murmur at that time. She has now developed a new murmur.  An echocardiogram indicates that there is "severe leaking" from the tricuspid valve and her heart is showing mild enlargement.  The cardiologist wants to follow up in 1 year.  This sounds like a long time.  Is this the recommended procedure or would a second opinion be warranted?

by Douglas Bogart, MD, Oct 05, 2008 08:49AM
To: mickim
It is very unusual to have endocarditis on the tricuspid valve at age 6 years unless the valve is structurally abnormal.  The valve may need to be repaired and your daughter should take antibiotics before procedures eg, dental work to prevent a recurrence.  I think a second opinion is warranted as this is an unusual situation.
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