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Complete morphologic and functional resolution of endocarditis of a Toronto stentless porcine bioprosthesis: a study by serial transesophageal echocardiography.

Abstract
Prosthetic valve endocarditis is a serious complication after valve replacement with an incidence of 0.8% for both mechanical and bioprosthetic valves. The new Toronto stentless porcine valve (SPV) for aortic replacement offers promising early results in hemodynamics and a low incidence of valve-related complications. The yearly incidence of bacterial endocarditis was reported to be 1% to 1.5%. Though complications such as a perivalvular abscess or anular dehiscence require immediate surgery, a conservative management of infective endocarditis may be possible in carefully selected cases. This is the case of a patient with late prosthetic valve endocarditis of a Toronto SPV bioprosthesis, who, in spite of large vegetations on all three valve cusps, responded well to conservative treatment. This response was monitored through repeated transesophageal echocardiographic studies (TEE), which documented complete functional recovery of the valve.
AuthorsS Schuenemann, S Andreas, H Kreuzer, G S Werner
JournalJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography (J Am Soc Echocardiogr) Vol. 11 Issue 1 Pg. 77-9 (Jan 1998) ISSN: 0894-7317 [Print] UNITED STATES
PMID9487475 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Aortic Valve (surgery, ultrasonography)
  • Bioprosthesis (adverse effects)
  • Echocardiography, Transesophageal
  • Endocarditis (etiology, therapy, ultrasonography)
  • Heart Valve Prosthesis (adverse effects)
  • Humans
  • Male

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