INFECTIVE ENDOCARDITIS AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION

Authors

  • Nádia Junqueira Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Ricardo Ferreira Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • João Gonçalves Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Ângelo Nobre Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Inês Ricardo Cardiology Department, Santa Maria Hospital, Lisbon, Portugal

DOI:

https://doi.org/10.48729/pjctvs.152

Abstract

Introduction: Transcatheter aortic valve implantation has emerged as an effective alternative to the traditional method of surgical aortic valve replacement in high risk or inoperable patients. Infective endocarditis after transcatheter aortic valve implantation is a post-operative complication with a high rate of mortality, and thus far, very few cases of successful surgery have been reported.

Case presentation: The authors report the case of a patient that underwent transcatheter aortic valve implantation and developed an infective endocarditis following the procedure. Corrective surgery for transcatheter aortic valve’s removal and aortic valve replacement was successfully performed.

Conclusions: Given the increasing use of transcatheter aortic valve implantation, endocarditis will become increasingly relevant in the near future. As in conventional aortic prosthesis, for some cases, medical therapy alone is not enough. Under optimal conditions, surgery is a safe option and should be considered and discussed in a Heart Team, patient by patient.

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References

Baumgartner H, Falk V, Bax J et al. Guidelines for the management of valvular heart disease, Eur J Cardiothorac Surgery 2017;38;36: 2739-2791.

Hoen B, Duval X. Clinical practice: infective endocarditis. N Engl J Med 2013;368:1425–1433.

Amat-Santos I, Messika-Zeitoun D, Eltchaninoff H et al. Infective Endocarditis After Transcatheter Aortic Valve Implantation. Circulation 2015;131:1566-1574.

Olsen NT, De Backer O, Thyregod HG et al. Prosthetic valve endocarditis after transcatheter aortic valve implantation. Circ Cardiovasc Interv 2015.8. DOI: 10.1161/CIRCINTERVENTIONS. 114.001939.

Pericas M, Llopis J, Cervera C et al. Infective endocarditis in patients with an implanted transcatheter aortic valve: Clinical characteristics and outcome of a new entity. Journal of Infection 2014; 70,6,565 – 576.

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Published

27-05-2021

How to Cite

1.
Junqueira N, Ferreira R, Gonçalves J, Nobre Ângelo, Ricardo I. INFECTIVE ENDOCARDITIS AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 May 27 [cited 2022 Aug. 11];26(1):51-3. Available from: https://pjctvs.com/index.php/journal/article/view/152

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Clinical Cases

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