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Case Reports in Cardiology
Volume 2017, Article ID 1923505, 7 pages
https://doi.org/10.1155/2017/1923505
Case Report

AngioVac System Used for Vegetation Debulking in a Patient with Tricuspid Valve Endocarditis: A Case Report and Review of the Literature

1Department of Internal Medicine, Wayne State University, Detroit, MI, USA
2Department of Cardiovascular Medicine, DMC/Wayne State University, Detroit, MI, USA

Correspondence should be addressed to Hossam Abubakar; ude.enyaw@rakabuba.massoh

Received 16 August 2017; Accepted 3 October 2017; Published 7 November 2017

Academic Editor: Man-Hong Jim

Copyright © 2017 Hossam Abubakar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

AngioVac is a vacuum-based device approved in 2014 for percutaneous removal of undesirable materials from the intravascular system. Although numerous reports exist with regard to the use of the AngioVac device in aspiration of iliocaval, pulmonary, upper extremity, and right-sided heart chamber thrombi, very few data are present demonstrating its use in treatment of right-sided endocarditis. In this case report, we describe the novel device used in debulking a large right-sided tricuspid valve vegetation reducing the occurrence of septic embolisation and enhancing the efficacy of antibiotics in clearance of bloodstream infection. Further research is needed in larger RSIE patient populations to confirm the benefits and the potential of improved outcomes associated with the AngioVac device as well as identify its potential complications.