title: A Perceval Valve in Active Infective Bioprosthetic Valve Endocarditis: Case Report.
abstract: The case is presented of a 72-year-old male patient suffering from active infective aortic prosthetic endocarditis two months after emergency surgery with aortic valve implantation, and who underwent aortic arch reconstruction using a Dacron patch, due to the spontaneous post-procedural migration of a transcatheter-implanted aortic valve. The heart team considered transcatheter valve implantation (TAVI) due to the increased operative risk demonstrated by a EuroSCORE II of 10.9%, including chronic obstructive pulmonary disease (GOLD 3), cirrhosis (Child-B), esophageal varicose stage 2, chronic renal failure stage 3, and reduced left ventricular ejection fraction. Subsequently, the EuroSCORE II was extremely high (76%) due to active infective prosthetic endocarditis and the aortic arch reoperation. A sutureless aortic valve was implanted and a pericardial patch repair of the aortic ascending and arch completed. Sternal re-stabilization was required postoperatively. The patient was discharged home after 42 days, and no recurrent endocarditis was diagnosed during follow up.
authors.affiliation: Department of Cardiovascular Surgery, Charité Hospital, Medical University Berlin, Berlin, Germany.
authors.forename: Johanna
authors.initials: J
authors.lastname: Konertz
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Charité Hospital, Medical University Berlin, Berlin, Germany.
authors.forename: Marc
authors.initials: M
authors.lastname: Kastrup
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Charité Hospital, Medical University Berlin, Berlin, Germany.
authors.forename: Sascha
authors.initials: S
authors.lastname: Treskatsch
authors.affiliation: Department of Cardiothoracic Surgery, Faculty of Health Science, University of the Free State, Bloemfontein, South Africa.|Department of Cardiac Surgery, University Hospital Oldenburg, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Germany. Electronic correspondence: hezchirurgie@klinikum-oldenbug.de.
authors.forename: Pascal M
authors.initials: PM
authors.lastname: Dohmen
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D065467:Transcatheter Aortic Valve Replacement; D016896:Treatment Outcome