Abstract
Intravenous drug use (IVDU) associated tricuspid valve endocarditis (TVE) is associated with a high mortality despite early surgical debridement and antibiotic therapy. In patients with ongoing drug use, there is high incidence of recurrent endocarditis. Patients with septic shock, septicemia, and respiratory failure are poor surgical candidates. Debulking using percutaneous mechanical aspiration and debridement (pMAD) is an alternative option in patients who are high risk for surgery. We report a retrospective case series of patients undergoing pMAD in patients who were deemed high risk for surgery comparing outcomes to surgical debridement.
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