Using Aspiration-Based Tricuspid Valve Endocarditis Debridement: Highlighting Imaging-Based Modification in a High-Risk Clinical Scenario

This report describes a high-risk case of tricuspid valve endocarditis secondary to intravenous drug abuse. Information gleaned from intraoperative transesophageal echocardiographic imaging and real-time measurements was used to effectively modify procedural hardware and successfully treat the patient using an aspiration-based strategy. (Level of Difficulty: Advanced.).