Thorac Cardiovasc Surg 2014; 62(01): 080-082
DOI: 10.1055/s-0032-1330225
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgery for Fulminant Prosthetic Valve Endocarditis after Transapical Transcatheter Aortic Valve-in-Valve Implantation

Manuel Wilbring
1   Department of Cardiac Surgery, University Heart Center Dresden, Dresden, Germany
,
Sems Malte Tugtekin
1   Department of Cardiac Surgery, University Heart Center Dresden, Dresden, Germany
,
Klaus Matschke
1   Department of Cardiac Surgery, University Heart Center Dresden, Dresden, Germany
,
Utz Kappert
1   Department of Cardiac Surgery, University Heart Center Dresden, Dresden, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

09. Juli 2012

29. August 2012

Publikationsdatum:
23. Januar 2013 (online)

Preview

Abstract

We report the clinical course of a patient with a history of transapical aortic “valve-in-valve” transcatheter aortic valve implantation (TAVI), actually suffering from prosthetic valve endocarditis. The patient now underwent cardiac surgery as a salvage procedure. The procedure itself was uneventful, but the patient died several days postoperative due to persisting sepsis. The present case raises the question, how to deal with high-risk patients, once considered unsuitable for cardiac surgery in presence of prosthetic valve infection? Up to now, there exists only insufficient knowledge about incidence, clinical course, and effectiveness of treatment strategies for prosthetic valve endocarditis after TAVI. A review of the available literature is given.