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  • Title: [Prosthetic valve endocarditis 6 months after transcatheter aortic valve implantation].
    Author: Santarpino G, Fischlein T, Pfeiffer S.
    Journal: G Ital Cardiol (Rome); 2013 Feb; 14(2):138-40. PubMed ID: 23389317.
    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.
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