# A Case of Right-Sided Infective Endocarditis Requiring AngioVac Debulking

## TL;DR

This paper presents a rare case of right-sided heart infection that required a special procedure called AngioVAC debulking after antibiotics failed.

## Contribution

The novelty lies in the use of AngioVAC debulking as an alternative treatment for antibiotic-resistant right-sided infective endocarditis.

## Key findings

- The patient had right-sided infective endocarditis affecting the tricuspid valve.
- Intravenous antibiotics were ineffective, necessitating AngioVAC debulking.
- The case highlights the need for alternative therapies in complex endocarditis cases.

## Abstract

Infective endocarditis is an uncommon but consequential disease process that occurs after damage to the cardiac endothelium. Management depends on location and infection severity, but it can typically be treated with intravenous antibiotics. Still, in more complex presentations, surgical intervention may be warranted. Here, we examine a case of right-sided infective endocarditis affecting the tricuspid valve in a patient with a history of intravenous drug use. The purpose of this paper is to examine a case of right-sided endocarditis refractory to intravenous antibiotics, resulting in the need for an alternative treatment modality using AngioVAC debulking.