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Tricuspid Endocarditis and Paradoxical Embolism

Department of Cardiothoracic Surgery National Heart Centre Singapore, Republic of Singapore
For reprint information contact: Michael Caleb, MBBS Tel: 65 436 7598 Fax: 65 224 3632 email: michael_caleb{at}nhc.com.sg Department of Cardiothoracic Surgery, National Heart Centre, 17 Third Hospital Avenue, Mistri Wing, Singapore 168752, Republic of Singapore.

A 32-year-old male heroin addict presented with pneumonia, septic shock, and disseminated intravascular coagulopathy. He was found to have tricuspid endocarditis with pulmonary and splenic septic emboli. A patent foramen ovale was detected during surgery, which was closed, vegetation was excised, and the tricuspid valve was repaired with autologous pericardium. Recovery was rapid.