Native Tricuspid Valve Endocarditis Delayed Glenn Procedure: A Case Report

Infective endocarditis in infants with congenital heart disease is exceedingly rare and thus, treatment guidelines and expected outcomes are understudied. We present a 3-month-old girl diagnosed with native tricuspid valve endocarditis at the time of her pre-Glenn cardiac catheterization. She had resultant tricuspid valve and right ventricular dysfunction. After initiating intravenous antibiotics, she underwent an operation including a bidirectional Glenn, Sano shunt extirpation, tricuspid valve repair, and central pulmonary artery stent insertion. At 9 months postoperatively, the patient continues to do well with good right ventricular and tricuspid valve function. Surgical treatment of infective endocarditis may be performed during a Glenn operation with satisfactory short-term results.