Right-Sided Infective Endocarditis 2020: Challenges and Updates in Diagnosis and Treatment
Top Cited Papers
Open Access
- 4 August 2020
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of the American Heart Association
- Vol. 9 (15)
- https://doi.org/10.1161/JAHA.120.017293
Abstract
Compared with the extensive data on left-sided infective endocarditis (IE), there is much less published information on the features and management of right-sided IE. Right-sided IE accounts for 5% to 10% of all IE cases, and compared with left-sided IE, it is more often associated with intravenous drug use, intracardiac devices, and central venous catheters, all of which has become more prevalent over the past 20 years. In this manuscript on right-sided IE we provide an up-to-date overview on the epidemiology, etiology, microbiology, potential locations of infection in the right heart, diagnosis, imaging, common complications, management, and prognosis. We present updated information on the treatment of pacemaker and device infections, infected fibrin sheaths that appear to be an easily missed source of infection after central line as well as pacemaker removal. We review current data on the AngioVac percutaneous aspiration device, which can obviate the need for surgery in patients with infected pacemaker leads and fibrin sheaths. We also focused on advanced diagnostic modalities, such as positron emission tomography/computed tomography. All of these are supported by specific case examples with detailed echocardiographic imaging from our experience.This publication has 89 references indexed in Scilit:
- Anatomic Variants Mimicking Pathology on Echocardiography: Differential DiagnosisJournal of Cardiovascular Ultrasound, 2013
- What are the differences in outcomes between right-sided active infective endocarditis with and without left-sided infection?Interactive CardioVascular and Thoracic Surgery, 2011
- Sex Differences in Native-Valve Infective Endocarditis in a Single Tertiary-Care HospitalThe American Journal of Cardiology, 2010
- Epidemiological Trends of Infective Endocarditis: A Population-Based Study in Olmsted County, MinnesotaMayo Clinic Proceedings, 2010
- Endocarditis Complicating Central Venous Catheter Bloodstream Infections: A Unique Form of Health Care Associated EndocarditisClinical Cardiology, 2009
- Prosthetic heart valve thrombosis: Pathogenesis, diagnosis and managementInternational Journal of Cardiology, 2006
- Endocardial pacemaker or defibrillator leads with infected vegetations: a single-center experience and consequences of transvenous extractionAmerican Heart Journal, 2003
- Isolated Right-sided Bartonella quintana endocarditis in an Immunocompetent AdultScandinavian Journal of Infectious Diseases, 1998
- Human Immunodeficiency Virus Infection and Infective Endocarditis among Injecting Drug UsersEpidemiology, 1996
- Findings on doppler echocardiography in asymptomatic intravenous heroin usersThe American Journal of Cardiology, 1992