Infective endocarditis following transcatheter aortic valve replacement—: Diagnostic and management challenges
- 4 May 2012
- journal article
- case report
- Published by Wiley in Catheterization and Cardiovascular Interventions
- Vol. 81 (4), 623-627
- https://doi.org/10.1002/ccd.24368
Abstract
Transcatheter aortic valve replacement (TAVR) can improve the symptoms and prognosis of patients with severe aortic stenosis who, due to a high expected operative risk, would not have otherwise been treated surgically. If these patients develop prosthetic valve endocarditis, their presentations may be atypical causing a delay in the diagnosis and treatment. The management is also complicated by their comorbidities, and surgical treatment may not be feasible leading to a significant morbidity and mortality. We describe a case of an 85‐year‐old man with TAVI prosthetic valve endocarditis successfully treated medically, discuss the challenges in the diagnosis and management of such patients, and review available literature on the incidence and outcome of the condition.Keywords
This publication has 14 references indexed in Scilit:
- Fungal endocarditis after transfemoral aortic valve implantationCatheterization and Cardiovascular Interventions, 2011
- 2-Year Follow-Up of Patients Undergoing Transcatheter Aortic Valve Implantation Using a Self-Expanding Valve ProsthesisJournal of the American College of Cardiology, 2011
- Standardized Endpoint Definitions for Transcatheter Aortic Valve Implantation Clinical TrialsJournal of the American College of Cardiology, 2011
- Transcatheter Aortic-Valve Implantation for Aortic Stenosis in Patients Who Cannot Undergo SurgeryNew England Journal of Medicine, 2010
- Transapical aortic valve prosthetic endocarditisInteractive CardioVascular and Thoracic Surgery, 2010
- Aortic valve replacement and mitral valve repair as treatment of complications after percutaneous core valve implantationThe Journal of Thoracic and Cardiovascular Surgery, 2009
- Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC)European Heart Journal, 2009
- Mitral valve injury late after transcatheter aortic valve implantationThe Journal of Thoracic and Cardiovascular Surgery, 2009
- Infective EndocarditisCirculation, 2005
- Percutaneous Transcatheter Implantation of an Aortic Valve Prosthesis for Calcific Aortic StenosisCirculation, 2002