Key result
Rescue transcatheter aortic valve-in-valve replacement resulted in complete recovery in a 74-year-old man with prosthetic valve endocarditis and cardiogenic shock deemed inoperable.
Why the study?
Does rescue transcatheter aortic valve-in-valve replacement improve outcomes in a patient with prosthetic valve endocarditis and cardiogenic shock who is not a surgical candidate?
Case Report (n=1)
Does rescue transcatheter aortic valve-in-valve replacement improve outcomes in a patient with prosthetic valve endocarditis and cardiogenic shock who is not a surgical candidate?
Transcatheter aortic valve-in-valve replacement may serve as a viable rescue treatment for patients with prosthetic valve endocarditis and cardiogenic shock who are prohibitive surgical risks.
Hypothesis-generating for rescue valve-in-valve TAVR in inoperable prosthetic endocarditis with shock; prospective studies needed before clinical adoption.
A 74-year-old man with a history of bioprosthetic aortic valve replacement presented with acute severe aortic insufficiency and cardiogenic shock secondary to Diphtheroides and Enterococcus endocarditis. The patient was deemed to be not a surgical candidate by the multidisciplinary team and underwent rescue transcatheter aortic valve-in-valve replacement, resulting in complete recovery. (Level of Difficulty: Advanced.)
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Branković et al. (2022) conducted a case report in Prosthetic valve endocarditis with acute severe aortic insufficiency and cardiogenic shock (n=1). Rescue transcatheter aortic valve-in-valve replacement was evaluated on Complete recovery. Rescue transcatheter aortic valve-in-valve replacement resulted in complete recovery in a 74-year-old man with prosthetic valve endocarditis and cardiogenic shock deemed inoperable.
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