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[Prosthetic valve endocarditis 6 months after transcatheter aortic valve implantation].

Abstract
Susceptibility to endocarditis after transcatheter aortic valve implantation (TAVI) has not yet been described. We report the first case of acute aortic prosthetic valve endocarditis in a patient undergoing transapical TAVI, successfully treated with surgery. In November 2009, an 83-year-old woman underwent TAVI (23 mm Edwards Sapien) with an uneventful postoperative course. After 6 months, her blood cultures tested positive for Enterococcus faecalis and a prosthetic aortic valve endocarditis was diagnosed following the identification of a large mobile vegetation with subvalvular abscess. The abscess cavity was closed with a pericardial patch, and the prosthetic aortic valve was replaced with a 23 mm Mitroflow aortic bioprosthesis, using a standard surgical procedure with cardiopulmonary bypass.
AuthorsGiuseppe Santarpino, Theodor Fischlein, Steffen Pfeiffer
JournalGiornale italiano di cardiologia (2006) (G Ital Cardiol (Rome)) Vol. 14 Issue 2 Pg. 138-40 (Feb 2013) ISSN: 1827-6806 [Print] Italy
Vernacular TitleEndocardite su protesi aortica 6 mesi dopo l'impianto transcatetere.
PMID23389317 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Aged, 80 and over
  • Aortic Valve (surgery)
  • Cardiac Catheterization
  • Enterococcus faecalis
  • Female
  • Gram-Positive Bacterial Infections (etiology)
  • Heart Valve Prosthesis (adverse effects)
  • Heart Valve Prosthesis Implantation (methods)
  • Humans
  • Prosthesis-Related Infections (etiology)
  • Time Factors

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