Indications for surgical management of active right-sided endocarditis are under debate. In the presence of vegetation without valvular or surrounding tissue involvement, the mass may be removed with a suction device introduced via a transcatheter path. Herein, we report the successful removal of right-sided vegetation using the AngioVac Cannula, a percutaneous mechanical suction device, in three patients who presented with active endocarditis. The excellent midterm follow-up results highlight the effectiveness of such aspiration catheter systems.
PatelN., AzemiT., ZaeemF.Vacuum assisted vegetation extraction for the management of large lead vegetations. J Card Surg.2013; 28: 321–324.
2.
TodoranT.M., SobieszczykP.S., LevyM.S.Percutaneous extraction of right atrial mass using the Angiovac aspiration system. J Vasc Interv Radiol.2011; 22: 1345–1347.
3.
DivekarA.A., ScholzT., FernandezJ.D.Novel percutaneous transcatheter intervention for refractory active endocarditis as a bridge to surgery-angiovac aspiration system. Catheter Cardiovasc Interv.2013; 81: 1008–1012.
4.
ChanP., OgilbyJ.D., SegalB.Tricuspid valve endocarditis. Am Heart J.1989; 117: 1140–1146.
5.
NishimuraR.A., OttoC.M., BonowR.O.2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol.2014; 63: 2438–2488.
6.
GacaJ.G., ShengS., DaneshmandM.Current outcomes for tricuspid valve infective endocarditis surgery in North America. Ann Thorac Surg.2013; 96: 1374–1381.