Percutaneous mechanical aspiration successfully cleared blood cultures in three high-surgical-risk patients with refractory mitral valve endocarditis, though one patient experienced a fatal delayed stroke.
Case Report (n=3)
No
Percutaneous mechanical aspiration with embolic protection may offer an alternative treatment strategy for high-surgical-risk patients with refractory mitral valve infective endocarditis.
Infective endocarditis of the mitral valve that is refractory to medical therapy requires surgical debridement. However, patients who are high risk for surgery have limited options. We report 3 cases of refractory infective endocarditis involving the mitral valve that were treated with percutaneous mechanical aspiration with an embolic protection system. (Level of Difficulty: Intermediate.)
Akhtar et al. (Sun,) conducted a case report in Mitral valve infective endocarditis (n=3). Percutaneous mechanical aspiration was evaluated on Successful vegetation aspiration and clearance of blood cultures. Percutaneous mechanical aspiration successfully cleared blood cultures in three high-surgical-risk patients with refractory mitral valve endocarditis, though one patient experienced a fatal delayed stroke.