Concurrent Tricuspid Valve Endocarditis and Stroke Following Lung Transplantation: A Case Report
| Author | Azadeh Moradkhani | en |
| Author | Atefeh Abedini | en |
| Author | Masoume Avateffazeli | en |
| Author | Farah Naghashzadeh | en |
| Author | Babak Sharif-Kashani | en |
| Author | Sina Homaee | en |
| Author | Shadi Shafaghi | en |
| Orcid | Atefeh Abedini [0000-0002-4262-9873] | en |
| Orcid | Farah Naghashzadeh [0000-0003-2446-6553] | en |
| Orcid | Babak Sharif-Kashani [0000-0002-3400-489X] | en |
| Orcid | Shadi Shafaghi [0000-0002-9960-8854] | en |
| Issued Date | 2025-12-31 | en |
| Abstract | Introduction: Infective endocarditis (IE) is a relatively rare complication among solid organ transplant recipients, including those who have undergone lung transplantation (LTx). Cerebrovascular complications, such as stroke, may also occur after LTx. Case Presentation: We report a case of tricuspid valve infective endocarditis (TVIE) accompanied by a stroke in a 46-year-old man approximately 10 days after unilateral LTx. The patient presented with neurological deficits, tachycardia, and marked leukocytosis. Diagnostic evaluation confirmed TVIE and stroke; however, transthoracic echocardiography revealed no intracardiac structural defects. Intravenous antibiotics and antithrombotic therapy resulted in clinical stabilization and improvement in both cardiac and neurological conditions. Conclusions: Right-sided IE should be suspected in early post-LTx patients who develop systemic inflammation with new focal neurological deficits, even when imaging does not identify a septal defect. This case is notable because stroke and right-sided IE occurred concurrently after LTx without an identifiable intracardiac shunt, making a direct embolic relationship between right-sided IE and stroke uncertain. The patient’s favorable outcome, despite severe post-transplant infectious and cerebrovascular complications, highlights the importance of prompt diagnosis, pathogen-directed therapy, and multidisciplinary management. | en |
| DOI | https://doi.org/10.5812/intjcardiovascpract-170812 | en |
| URI | https://brieflands.com/journals/ijcp/articles/170812 | en |
| Keyword | Lung Transplantation | en |
| Keyword | Infective Endocarditis | en |
| Keyword | Cerebrovascular Accident | en |
| Keyword | Stroke | en |
| Publisher | Brieflands | en |
| Title | Concurrent Tricuspid Valve Endocarditis and Stroke Following Lung Transplantation: A Case Report | en |
| Type | Case Report | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- ijcp-10-2-170812-publish-pdf.pdf
- Size:
- 915.32 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF