Tricuspid Endocarditis and Paradoxical Embolism

A 32-year-old male heroin addict presented with pneumonia, septic shock, and disseminated intravascular coagulopathy. He was found to have tricuspid endocarditis with pulmonary and splenic septic emboli. A patent foramen ovale was detected during surgery, which was closed, vegetation was excised, and the tricuspid valve was repaired with autologous pericardium. Recovery was rapid.