Right ventricular mural infective endocarditis after traumatic tricuspid valve regurgitation in a 40-year-old man: A case report

Published:November 03, 2022DOI:


      As the clinical manifestations of traumatic tricuspid valve regurgitation vary according to the extent of tricuspid valve injury, this condition can often go unnoticed and be incidentally discovered. Here, we report the case of a 40-year-old man with patent foramen ovale, in which severe tricuspid regurgitation due to tricuspid valve prolapse was incidentally discovered following blunt chest trauma. Further examination revealed that the prolapse had also caused active right ventricular mural infective endocarditis. The patient had no relevant past medical history of chronic debilitating disease or immunosuppression. After evaluation by the cardiology team, emergent surgical tricuspid valvular repair was successfully performed.

      Learning objective

      Tricuspid valve prolapses resulting from chest trauma may occasionally lead to severe tricuspid regurgitation. Furthermore, this may cause active right ventricular infective endocarditis. In the present case, Staphylococcus aureus was detected in blood cultures, which is usually rapidly progressive and often leads to devastating consequences. Early surgical approach should be considered in cases of infection in the left atrium via patent foramen ovale.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Cardiology Cases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Parmley L.F.
        • Manion W.C.
        • Mattingly T.W.
        Nonpenetrating traumatic injury of the heart.
        Circulation. 1958; 18: 371-396
        • Habib G.
        • Lancellotti P.
        • Antunes M.J.
        • Bongiorni M.G.
        • Casalta J.P.
        • Del Zotti F.
        • Dulgheru R.
        • El Khoury G.
        • Erba P.A.
        • Iung B.
        • Miro J.M.
        • Mulder B.J.
        • Plonska-Gosciniak E.
        • Price S.
        • Roos-Hesselink J.
        • et al.
        2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).
        Eur. Heart J. 2015; 36: 3075-3128
        • Nakatani S.
        • Ohara T.
        • Ashihara K.
        • Izumi C.
        • Iwanaga S.
        • Eishi K.
        • Okita Y.
        • Daimon M.
        • Kimura T.
        • Toyoda K.
        • Nakase H.
        • Nakano K.
        • Higashi M.
        • Mitsutake K.
        • Murakami T.
        • et al.
        JCS 2017 guideline on prevention and treatment of infective endocarditis.
        Circ. J. 2019; 83: 1767-1809
        • Banning A.P.
        • Durrani A.
        • Pillai R.
        Rupture of the atrial septum and tricuspid valve after blunt chest trauma.
        Ann. Thorac. Surg. 1997; 64: 240-242
        • Reddy G.
        • Chatterjee A.
        • Leon K.
        Left atrial mural endocarditis secondary to mitral valve jet lesion.
        Circulation. 2015; 131: 1529-1530
        • Liesenborghs L.
        • Meyers S.
        • Lox M.
        • Criel M.
        • Claes J.
        • Peetermans M.
        • Trenson S.
        • Vande Velde G.
        • Vanden Berghe P.
        • Baatsen P.
        • Missiakas D.
        • Schneewind O.
        • Peetermans W.E.
        • Hoylaerts M.F.
        • Vanassche T.
        • et al.
        Staphylococcus aureus endocarditis: distinct mechanisms of bacterial adhesion to damaged and inflamed heart valves.
        Eur. Heart J. 2019; 40: 3248-3259
        • Robbins M.J.
        • Soeiro R.
        • Frishman W.H.
        • Strom J.A.
        Right-sided valvular endocarditis: etiology, diagnosis, and an approach to therapy.
        Am. Heart J. 1986; 111: 128-135
        • Hecht S.R.
        • Berger M.
        Right-sided endocarditis in intravenous drug users. Prognostic features in 102 episodes.
        Ann. Intern Med. 1992; 117: 560-566