Key result
Urgent aortic valve replacement achieves successful recovery in severe Enterococcus endocarditis with COVID-19.
Case Report (n=1)
This case highlights the diagnostic and therapeutic challenges of managing severe infective endocarditis requiring urgent surgery in a patient with concurrent COVID-19.
May support urgent AVR feasibility in select COVID-19 endocarditis cases; leaves open generalizability and optimal management.
A 38-year-old man presented with cough, shortness of breath, and fatigue. He was diagnosed with Coronavirus Disease-2019 (COVID-19) as well as Enterococcus faecalis bacteremia. Imaging revealed a subaortic membrane with aortic valve endocarditis and severe aortic insufficiency. He had successful aortic valve replacement with a mechanical prosthesis and subaortic membrane resection. This case highlights some of the diagnostic and therapeutic challenges presented by COVID-19 pandemic.
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Sanders et al. (2020) conducted a case report in COVID-19 and Infective Endocarditis (n=1). Aortic valve replacement and subaortic membrane resection was evaluated on Clinical outcome. A 38-year-old man with COVID-19 and Enterococcus faecalis endocarditis complicated by severe aortic insufficiency successfully underwent urgent aortic valve replacement without postoperative complications.
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