Periannular extension of infective endocarditis with atrioventricular block successfully treated with antibiotic therapy after transcatheter aortic valve implantation: a case report.

ABSTRACT:

Background

Although transcatheter aortic valve implantation (TAVI) is performed for very elderly patients in whom surgical aortic valve replacement (SAVR) poses unacceptably high operative risk, some of these patients are ultimately forced to undergo open surgery when TAVI is complicated by infective endocarditis (IE). To our knowledge, there have been no reports of cases with periannular extension of IE and atrioventricular block successfully treated by antibiotics without valve replacement.

Case summary

An 80-year-old Japanese man who had undergone TAVI developed IE with loss of consciousness on Day 39 after the procedure. Methicillin-resistant Staphylococcus aureus was detected in his blood culture. Electrocardiography (ECG) showed complete atrioventricular block.

SUBMITTER: Hirata Y 

PROVIDER: S-EPMC11646121 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature