Key result
A 20-year-old male developed acute MRSA endocarditis of a bovine Contegra valved conduit four years after implantation, representing a rare complication of this right ventricular outflow tract reconstruction.
Case Report (n=1)
No
Highlights the rare but severe complication of MRSA endocarditis in patients with a bovine Contegra valved conduit used for RVOT reconstruction.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to rare late MRSA endocarditis after Contegra implantation; leaves open optimal surveillance and prevention strategies.
BACKGROUND: Different techniques are used for the right ventricular outflow tract reconstruction, including homo- or porcine xenografts, which have several limitations. Contegra, a bovine jugular vein graft, is an interesting alternative to overcome these limitations. It consists of a bovine jugular vein with a naturally integrated valve in it. Isolated pulmonary valve endocarditis is extremely rare. CASE PRESENTATION: We report the case of a 20 years old male patient with acute endocarditis of bovine Contegra valved conduit, four years after right ventricular outflow tract reconstruction and atrial septal defect correction, associated with acute glomerulonephritis, renal failure and severe anemia, secondary to methicillin-resistant Staphylococcus aureus infection (MRSA). CONCLUSION: We present a complex patient with acute endocarditis of bovine Contegra valved conduit. We believe that the presentation of this case should encourage the researchers for the discussing of the implantation of this conduit and the prevention of endocarditis in these patients.
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Bajraktari et al. (2009) conducted a case report in MRSA endocarditis of bovine Contegra valved conduit (n=1). Bovine Contegra valved conduit was evaluated. A 20-year-old male developed acute MRSA endocarditis of a bovine Contegra valved conduit four years after implantation, representing a rare complication of this right ventricular outflow tract reconstruction.
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