Percutaneous snare vegetectomy may be a reasonable alternative to open-heart surgery in selected pediatric patients with infective endocarditis.
May support percutaneous vegetectomy as alternative in selected cases; hypothesis-generating and should not change practice.
Surgical vegetectomy may be indicated in patients with unresolving sepsis, heart failure, recurrent embolism, or the presence of large vegetations >10 mm in size. Percutaneous vegetectomy using a snare may be a reasonable option instead of open-heart surgery in selected patients. We describe the case of a patient with operated tetralogy of Fallot and infective endocarditis who underwent vegetectomy via a percutaneous approach.
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Saltık et al. (2016) studied this question.
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