{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:38:47Z","timestamp":1754163527247,"version":"3.41.2"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>We report the case of a 39-year-old pregnant woman with a history of drug abuse who was admitted to the cardiology department with a diagnosis of tricuspid valve endocarditis. After the multidisciplinary team decided on a conservative treatment with antibiotherapy, the pregnancy was closely monitored. After 4\u2005weeks of treatment, the patient developed extreme thoracic pain and pericardial effusion that was considered infectious and did not require urgent surgery. One month after giving birth to her baby, the patient was admitted to our hospital for the completion of the preoperative protocol. During this admission, multimodal imaging revealed a penetrating metallic foreign body in the wall of the right ventricle. The patient was finally admitted to the Cardiovascular Surgery Unit, where she underwent surgical removal of the foreign body and a complex tricuspid valve repair. The postoperative course was uneventful, and our patient was discharged from the ICU 2\u2005days later.<\/jats:p>","DOI":"10.3389\/fcvm.2025.1607408","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T05:38:56Z","timestamp":1753940336000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Complex tricuspid valve repair and entrapped right ventricle foreign body extraction in an IVDU patient\u2014early diagnosis and treatment considerations"],"prefix":"10.3389","volume":"12","author":[{"given":"Andreea","family":"Blindaru","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruxandra","family":"Copciag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florin","family":"Anghel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrei","family":"Danet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radu","family":"Isail\u0103","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tudor","family":"Borjog","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Andronic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragos","family":"Vinereanu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catalin-Constantin","family":"Badiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"205","DOI":"10.5761\/atcs.cr.17-00117","article-title":"An unusual foreign body in the heart: a case report","volume":"24","author":"Supomo","year":"2018","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e14469","DOI":"10.7759\/cureus.14469","article-title":"Needle embolism to the heart: a case report and review","volume":"13","author":"Hatcherson","year":"2021","journal-title":"Cureus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2483","DOI":"10.1111\/jce.16485","article-title":"Device dislodgement and embolization associated with a new leadless pacemaker","volume":"35","author":"Bahbah","year":"2024","journal-title":"J Cardiovasc Electrophysiol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e41046","DOI":"10.7759\/cureus.41046","article-title":"Migrated inferior vena cava (IVC) filter presenting as tricuspid valve mass, right-sided heart failure, and paradoxical emboli","volume":"15","author":"Oredegbe","year":"2023","journal-title":"Cureus"},{"key":"B5","doi-asserted-by":"publisher","first-page":"963021","DOI":"10.3389\/fsurg.2022.963021","article-title":"Entrapment of a metal foreign body in the heart during surgical procedure: a case report and literature review","volume":"9","author":"Wang","year":"2022","journal-title":"Front Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"24","DOI":"10.5758\/vsi.220033","article-title":"Surgical removal of migrated atrial septal defect closure device: a case report","volume":"38","author":"Kim","year":"2022","journal-title":"Vasc Specialist Int"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1046\/j.1360-0443.2003.00462.x","article-title":"Intravenous drug users and broken needles\u2014a hidden risk?","volume":"98","author":"Norfolk","year":"2003","journal-title":"Addiction"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e237333","DOI":"10.1136\/bcr-2020-237333","article-title":"Left ventricular perforation from a dislodged needle migrating via a pulmonary artery branch in an intravenous drug user","volume":"14","author":"Waidyanatha","year":"2021","journal-title":"BMJ Case Rep"},{"key":"B9","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/s13011-017-0134-1","article-title":"Case report: surgical removal of a migrated needle in right ventricle of an intravenous drug user","volume":"12","author":"Fu","year":"2017","journal-title":"Subst Abuse Treat Prev Policy"},{"key":"B10","doi-asserted-by":"publisher","first-page":"939","DOI":"10.3390\/medicina59050939","article-title":"Infective endocarditis during pregnancy\u2014keep it safe and simple!","volume":"59","author":"Onofrei","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e210","DOI":"10.1097\/AOG.0000000000002355","article-title":"Guidelines for diagnostic imaging during pregnancy and lactation. 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