title: [Prosthetic valve endocarditis 6 months after transcatheter aortic valve implantation].
abstract: Susceptibility to endocarditis after transcatheter aortic valve implantation (TAVI) has not yet been described. We report the first case of acute aortic prosthetic valve endocarditis in a patient undergoing transapical TAVI, successfully treated with surgery. In November 2009, an 83-year-old woman underwent TAVI (23 mm Edwards Sapien) with an uneventful postoperative course. After 6 months, her blood cultures tested positive for Enterococcus faecalis and a prosthetic aortic valve endocarditis was diagnosed following the identification of a large mobile vegetation with subvalvular abscess. The abscess cavity was closed with a pericardial patch, and the prosthetic aortic valve was replaced with a 23 mm Mitroflow aortic bioprosthesis, using a standard surgical procedure with cardiopulmonary bypass.
authors: Dipartimento di Cardiochirurgia, Klinikum Nurnberg, Norimberga, Germania. g.santarpino@libero.it
authors: Giuseppe
authors: G
authors: Santarpino
authors: Theodor
authors: T
authors: Fischlein
authors: Steffen
authors: S
authors: Pfeiffer
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D006328:Cardiac Catheterization; D013293:Enterococcus faecalis; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000209:etiology*; D013997:Time Factors