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May 30, 2026Exploration of MedicineOpen Access

Tricuspid valvectomy combined with a bidirectional Glenn shunt successfully eradicated infection and improved symptoms to NYHA class II at one-year follow-up in a patient with relapsing tricuspid endocarditis.

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Population

31-year-old woman with drug addiction and recurrent tricuspid valve endocarditis with early degeneration and…

Design

Case_report

Key result

Tricuspid valvectomy combined with a bidirectional Glenn shunt successfully eradicated infection and improved symptoms to NYHA class II at one-year follow-up in a patient with relapsing tricuspid endocarditis.

Authors

VBVincenzo BoschettiAFAlessandra FrancicaSHStiljan Hoxha

Discussion

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Overview

May warrant consideration in refractory tricuspid endocarditis; leaves open confirmation in prospective trials.

Key Points

  • This research aims to evaluate the effectiveness of the bidirectional Glenn shunt combined with tricuspid valvectomy in treating recurrent tricuspid valve endocarditis.
  • Presented a case of a 31-year-old woman with recurrent endocarditis and drug addiction.
  • Performed a surgery involving tricuspid valvectomy and bidirectional Glenn shunt.
  • Focused on eliminating sources of infection and enhancing the patient's chances for recovery from addiction.
  • Surgical intervention was successful in managing recurrent endocarditis.
  • Improved the patient's chance to address drug addiction and undergo further treatment if needed.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
31-year-old woman with drug addiction and recurrent tricuspid valve endocarditis with early degeneration and infection of a previous pulmonary homograft (n=1)
I
Intervention
Tricuspid valvectomy and bidirectional Glenn shunt (BGS)
O
Outcome
Elimination of potential sources of infection

Bidirectional Glenn shunt combined with tricuspid valvectomy can serve as a salvage surgical strategy for recurrent tricuspid endocarditis in patients with active intravenous drug abuse.

Limitations

  • Single case report
  • Short follow-up period of one year
  • Patient declined right heart catheterization at one year

Cite This Study

Boschetti et al. (2026) conducted a case report in Relapsing tricuspid endocarditis (n=1). Tricuspid valvectomy and bidirectional Glenn shunt (BGS) was evaluated on Resolution of infection and clinical improvement. Tricuspid valvectomy combined with a bidirectional Glenn shunt successfully eradicated infection and improved symptoms to NYHA class II at one-year follow-up in a patient with relapsing tricuspid endocarditis.

synapsesocial.com/papers/6a1a7f760307b78509431afchttps://doi.org/10.37349/emed.2026.1001407
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcatheter Tricuspid Valve Replacement for Severe Tricuspid Regurgitation Post–Left Ventricular Assist Device2026
  2. 2Right Ventricular Outflow Tract Endocarditis: A Very Rare Case and Short View2025
  3. 3Emergency Heart Transplantation for Recurrent Infective Endocarditis With Irreparable Damage2025
  4. 4New Approaches to Treatment of Tricuspid Regurgitation2025 · 1 citations
  5. 5Clinical success of re-redo pulmonary valve and pulmonary trunk homograft replacement during the second trimester of pregnancy2025