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June 25, 2013European Journal of Cardio-Thoracic SurgeryOpen Access

Infective endocarditis in transcatheter aortic valve implantation

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Key result

Surgical aortic valve replacement successfully treats post-TAVI infective endocarditis following failed medical therapy.

  • n=1

Why the study?

Surgical aortic valve replacement indications in high-risk patients with post-TAVI infective endocarditis remain important to consider.

Population

1 85-year-old man with history of TAVI for severe symptomatic aortic stenosis

Comparison

Medical therapy vs surgical aortic valve replacement after infective endocarditis

Design

Case report

Follow-up

4 weeks

Authors

YKYoon Seok KohSeoul St. Mary's HospitalMMMi Hyoung MoonSeoul St. Mary's HospitalKJKeon Hyun JoHealth Insurance Review and Assessment Service

Discussion

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Implication

May inform surgical options for post-TAVI endocarditis in select elderly patients; leaves open optimal strategies and outcomes.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 85-year-old man with a history of TAVI who developed infective endocarditis and underwent surgical valve replacement.
I
Intervention
Surgical aortic valve replacement (explantation of infected prosthetic valve, radical debridement, biological aortic valve replacement, and annulus reconstruction with bovine pericardium) following failed medical therapy.
O
Outcome
Successful retrieval of infected prosthetic valve and patient survival to discharge.

Surgical aortic valve replacement can still be indicated and successfully performed in high-risk patients with post-TAVI infective endocarditis who fail medical therapy.

Cite This Study

Koh et al. (2013) conducted a case report in Infective endocarditis post-TAVI (n=1). Surgical aortic valve replacement was evaluated. Surgical aortic valve replacement was successfully performed to treat post-TAVI infective endocarditis in an 85-year-old man, who was discharged with minor neurological sequelae.

synapsesocial.com/papers/6ab86dc4bdbdb5493bf24d90https://doi.org/10.1093/ejcts/ezt312
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Valve-in-valve transcatheter aortic valve implantation (TAVI): a new valuable approach to bioprosthetic infective endocarditis?2024 · 4 citations
  2. 2A case of transcatheter prosthetic aortic valve endocarditis2020 · 2 citations
  3. 3Surgical Explantation of a Balloon-Expandable Transcatheter Aortic Valve With Aortic Root Preservation for Prosthetic Valve Endocarditis: A Case Report2026
  4. 4Infective Endocarditis of the TAVI Prosthesis: Emerging New Challenges2025
  5. 5Fatal infective endocarditis early after TAVR2023 · 1 citations