Complex Tricuspid Valve Repair and Entrapped Right Ventricle Foreign Body Extraction in an IVDU patient-Early Diagnosis and Treatment Considerations

Andreea Blindaru^1,2Ruxandra Copciag^1,2Florin Anghel^2*Andrei Danet^1,2Radu Isailă¹Tudor Borjog^1,2Anca Andronic¹Dragos Vinereanu^1,2Catalin-Constantin Badiu^1,2

• ¹Bucharest University Emergency Hospital, Bucharest, Romania
• ²Carol Davila University of Medicine and Pharmacy, Bucharest, Bucharest, Romania

We report the case of a 39-year-old pregnant woman with a history of drug abuse admitted to the cardiology department with a diagnosis of tricuspid valve endocarditis. After the multidisciplinary team decided on a conservatory treatment with antibiotherapy, the pregnancy was closely monitored. After four weeks into treatment, the patient developed extreme thoracic pain and pericardial effusion that was considered infectious and did not require urgent surgery. One-month after giving birth to her baby, the patient returns for admission to our hospital for the completion of the preoperative protocol. During this admission, multimodal imaging revealed a penetrating metallic foreign body in the right ventricle wall. The last admission of our patient was to the cardiovascular surgery unit, where she underwent surgical removal of the foreign body and a complex tricuspid valve repair. The postoperative course was uneventful, and our patient was discharged from the ICU 2 days later.