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Challenging Case of Marantic Tricuspid Endocarditis Treated With Percutaneous Vegetation Debulking

Magarinos, Jessica S.
; 
Matthews, Aswin
; 
Lakhter, Vladimir
; 
Kalla, Aditi
; 
Altomare, Carla
; 
Baskin, Sean M.
; 
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Journal article
Date
2023-02-28
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Temple University. Hospital
Department
Surgery
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http://hdl.handle.net/20.500.12613/10781
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MagarinosEtAl-JournalArticle-2023-02.pdf
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DOI
https://doi.org/10.1016/j.atssr.2022.10.005
Abstract
Marantic endocarditis is a rare entity often diagnosed in the setting of advanced malignant disease. We present the case of a 66-year-old man with stage IVb non–small cell lung cancer, with large tricuspid and small aortic valve vegetations. A multidisciplinary team determined the patient to be a poor surgical candidate, but given the likelihood of pulmonary and systemic embolization, an intervention was required. We proposed AngioVac-assisted vegetation debulking of the tricuspid valve to be the best approach in consideration of the small aortic valve vegetation and lung cancer. He successfully underwent this procedure and was discharged on postprocedure day 2.
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Citation
Jessica S. Magarinos, Aswin Mathews, Vladimir Lakhter, Aditi Kalla, Carla Altomare, Sean M. Baskin, Suyog Mokashi, Challenging Case of Marantic Tricuspid Endocarditis Treated With Percutaneous Vegetation Debulking, Annals of Thoracic Surgery Short Reports, Volume 1, Issue 1, 2023, Pages 58-60, ISSN 2772-9931, https://doi.org/10.1016/j.atssr.2022.10.005.
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Elsevier
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Annals of Thoracic Surgery Short Reports, Vol. 1, Iss. 1
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