A case of transcatheter prosthetic aortic valve endocarditis

Transcatheter aortic valve implantation (TAVR) constitutes an established treatment in inoperable or high perioperative risk patients with severe aortic stenosis. Prosthetic valve endocarditis after ΤΑVR occurs with an incidence of 0.3-1% per patient-year. Infective endocarditis may stem from hemato...

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Main Authors: Muhammad Shabbir Rawala (Author), Amna Saleem Ahmed (Author), Syed Bilal Rizvi (Author), Aravinda Nanjundappa (Author)
Format: Book
Published: Greater Baltimore Medical Center, 2020-05-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Muhammad Shabbir Rawala  |e author 
700 1 0 |a Amna Saleem Ahmed  |e author 
700 1 0 |a Syed Bilal Rizvi  |e author 
700 1 0 |a Aravinda Nanjundappa  |e author 
245 0 0 |a A case of transcatheter prosthetic aortic valve endocarditis 
260 |b Greater Baltimore Medical Center,   |c 2020-05-01T00:00:00Z. 
500 |a 2000-9666 
500 |a 10.1080/20009666.2020.1766801 
520 |a Transcatheter aortic valve implantation (TAVR) constitutes an established treatment in inoperable or high perioperative risk patients with severe aortic stenosis. Prosthetic valve endocarditis after ΤΑVR occurs with an incidence of 0.3-1% per patient-year. Infective endocarditis may stem from hematogenous dissemination or contact with infected adherent tissue. Few cases of infective endocarditis after TAVR have been reported. We present an interesting case of a 79-year-old male with a history of severe aortic stenosis status post TAVR greater than one year ago, and pulmonary vein isolation for atrial fibrillation six weeks ago was found to have infective endocarditis with a vegetation on the prosthetic valve leading to multiple embolic strokes as a result of Enterococcus faecalis bacteremia. The patient was not a surgical candidate with his Society of Thoracic Surgery (STS) risk score being 18%; therefore, he was managed conservatively on intravenous antibiotics. Our case had endocarditis from enterococcus bacteremia; however, the patient never had any gastrointestinal or genitourinary procedure. 
546 |a EN 
690 |a tavr 
690 |a endocarditis 
690 |a prosthetic valve; aortic stenosis; stroke 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 3, Pp 279-282 (2020) 
787 0 |n http://dx.doi.org/10.1080/20009666.2020.1766801 
787 0 |n https://doaj.org/toc/2000-9666 
856 4 1 |u https://doaj.org/article/b61b4f668d774c1188b5c44f89f5c0aa  |z Connect to this object online.