Pediatric Tricuspid Valve Infective Endocarditis- Insite into a
:Pediatric tricuspid vavle endocarditis is an uncommon entity which is
now becoming prevalent oweing to improved diagnostic methods and
increase number of cardiac surgeries.Paediatric right sided infective
endocarditis are mostly secondary to structural heart defects or
indwelling venous catheters .We present a case of paeditric tricuspid
valve endocarditis presenting with complete heart block,septic
arthritis, pulmonary abcess with no structural heart defect diagnosted
preoperatively.Intra-operatively a ventricular septal defect was
diagnosed and managed .We present the difficult management of the case
by medical and surgical intervention and management of secondary fungal
infective endocarditis with repeated successful surgical intervention .
We also emphasize on lack of established guidelines for management of
right -sided infective endocarditis.