Successful Surgical Aortic Valve Replacement for Prosthetic Valve Endocarditis 10 Months after Transcatheter Aortic Valve Implantation
- VernacularTitle:TAVI 後10カ月で感染性心内膜炎に対して人工弁摘出を要した1例
- Author:
Ryota NOMURA
1
;
Masanao NAKAI
1
;
Shinji KAWAGUCHI
1
;
Yuta MIYANO
1
;
Shinnosuke GOTO
1
;
Yasuhiko TERAI
1
;
Muneaki YAMADA
1
;
Hiroshi MITSUOKA
1
;
Fumio YAMAZAKI
1
Author Information
- Keywords: TAVI; infective endocarditis; self-expanding; Evolut
- From:Japanese Journal of Cardiovascular Surgery 2020;49(5):284-287
- CountryJapan
- Language:Japanese
- Abstract: An 87-year-old man underwent a transcatheter aortic valve implantation (TAVI) for severe aortic stenosis. Approximately 8 months later, he was readmitted to our institution because of a cerebral infarction. Viridans Streptococcus was identified from the blood culture, and transesophageal echocardiography revealed a mobile mass on the leaflet. Prosthetic valve endocarditis (PVE) was diagnosed and we initially administered intravenous antibiotic therapy for 4 weeks, after which the patient underwent surgical aortic valve replacement. Herein, we report on the surgical AVR in the patient using a pericardial valve after successful removal of the infected prosthetic valve, and discuss some issues related to this rare complication after TAVI.
