Abstract
An 83-year-old man had aortic valve replacement for aortic stenosis with a pericardial bioprosthesis and subsequent implantation of a CoreValve™ prosthesis as a valve-in-valve procedure. Approximately 4 years later, he developed endocarditis on the CoreValve™ with severe prosthetic stenosis, a periannular abscess and systemic embolization. At reoperation both prostheses were removed and another bioprosthesis inserted after reconstruction of the aortic root. Endocarditis after transaortic valve implantation is an uncommon event with dismal prognosis. Infection of a self-expandable device as a valve-in-valve has not been previously reported. This complication represents a surgical challenge which, however, can be successfully managed.
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References
Celiento M, Ravenni G, Tomei L, Pratali S, Milano AD, Bortolotti U. Excellent durability of the Mosaic porcine aortic bioprosthesis at extended follow-up. J Heart Valve Dis. 2018;27:97–103.
Perrin N, Frei A, Noble S. Transcatheter aortic valve implantation: update in 2018. Eur J Intern Med. 2018;55:12–9.
Webb JG, Dvir D. Transcatheter aortic valve replacement for bioprosthetic aortic valve failure. The valve-in-valve procedure. Circulation. 2013;127:2542–50.
Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic valve replacement with a balloon expandable valve in low-risk patients. N Engl J Med. 2019;380:1695–705.
Eggebrecht H, Schäfer U, Treede H, et al. Valve-in-valve transcatheter aortic valve implantation for degenerated bioprosthetic heart valves. J Am Coll Cardiol Interv. 2011;4:1218–27.
Regueiro A, Linke A, Latib A, et al. Association between transcatheter aortic valve replacement and subsequent infective endocarditis and in-hospital death. JAMA. 2016;316:1083–92.
Amat-Santos IJ, Messika-Zeitoum D, Eltchaninoff H, et al. Infective endocarditis after transcatheter aortic valve implantation. Results from a large multicentre registry. Circulation. 2015;131:1566–74.
Nguyen C, Cheong AP, Himbert D. Valve-in-valve-in-valve: treating endocarditis of a transcatheter heart valve. Catheter Cardiovasc Int. 2015;86:E200–E204204.
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Vendramin, I., Benedetti, G., Lechiancole, A. et al. Infective endocarditis following a valve-in-valve procedure. Gen Thorac Cardiovasc Surg 68, 1469–1471 (2020). https://doi.org/10.1007/s11748-019-01285-2
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DOI: https://doi.org/10.1007/s11748-019-01285-2