A Forgotten Catheter for Two Decades: Catheter-Associated Tricuspid Endocarditis Managed With Percutaneous Debulking

We herein report a rare case of catheter-associated methicillin-susceptible <i>Staphylococcus aureus</i> (MSSA) endocarditis in a patient with a central venous access device retained for over 20 years. Diagnosis was delayed due to subtle clinical signs and limitations of initial imaging, but the patient was ultimately treated successfully with percutaneous debulking of the vegetation. This case highlights the risks associated with long-term catheter retention and underscores the importance of multidisciplinary care and innovative percutaneous therapies in high-risk patients.

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Journal
Cureus
Published
2025-10-04
DOI
https://doi.org/10.7759/cureus.93816
Primary Topic
Infective Endocarditis Diagnosis and Management
Type
article
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article

A Forgotten Catheter for Two Decades: Catheter-Associated Tricuspid Endocarditis Managed With Percutaneous Debulking

Yikui Tian, Peter Oro, Mark Regala, Azka Khan et al.
Cureus
Infective Endocarditis Diagnosis and Management
article

A Forgotten Catheter for Two Decades: Catheter-Associated Tricuspid Endocarditis Managed With Percutaneous Debulking

Yikui Tian, Peter Oro, Mark Regala, Azka Khan, Sajid Ali, Jehad Abdalla, Riley Smith, Deepika Mannem, Melina Aguinaga-Meza
article en

Abstract

We herein report a rare case of catheter-associated methicillin-susceptible <i>Staphylococcus aureus</i> (MSSA) endocarditis in a patient with a central venous access device retained for over 20 years. Diagnosis was delayed due to subtle clinical signs and limitations of initial imaging, but the patient was ultimately treated successfully with percutaneous debulking of the vegetation. This case highlights the risks associated with long-term catheter retention and underscores the importance of multidisciplinary care and innovative percutaneous therapies in high-risk patients.

CureusVol. 17(10)
Osteopathic Heritage Foundation (US), Ohio University (US), Markham Stouffville Hospital (CA), South Pointe Hospital (US)
Openalex Percentile: Top 63%
Infective Endocarditis Diagnosis and Management
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