The Seven Pillars of Techniques to Treat and Repair Tricuspid Endocarditis

In this article, the authors detail the seven pillars for successful management of tricuspid valve endocarditis. Surgical indications for tricuspid valve endocarditis include heart failure, uncontrolled infection, and septic emboli risk. Surgical techniques may vary, however, the focus for this procedure is on the debridement of infected material and managing valve function. Approaches include valve repair, replacement, or techniques such as the Kay repair and the De Vega annuloplasty, each with their own specific benefits and risks. Novel suction devices, such as the AngioVac System, show promise in removing vegetations effectively and safely. The management of infective tricuspid endocarditis requires a collaborative approach, involving cardiac surgery, cardiology, and an infectious disease specialist, but primarily relies on long-term intravenous antibiotics.