Zaid Abood MD , M. Fuad Jan MBBS (Hons), MD , Omar Nahhas MD , Suhail Q. Allaqaband MD , Tanvir Bajwa MD , Eric S. Weiss MD, MPH
{"title":"Concurrent Explant of Infected Transcatheter Aortic Valve and Implant of Ventricular Assist Device","authors":"Zaid Abood MD , M. Fuad Jan MBBS (Hons), MD , Omar Nahhas MD , Suhail Q. Allaqaband MD , Tanvir Bajwa MD , Eric S. Weiss MD, MPH","doi":"10.1016/j.atssr.2024.07.003","DOIUrl":null,"url":null,"abstract":"<div><div>A 60-year-old man with diabetes mellitus and aortic stenosis who had undergone transcatheter aortic valve replacement (TAVR) presented with persistent TAVR-associated infective endocarditis (TAVR IE) despite a prolonged antibiotic course. TAVR IE is a rare yet fatal complication, with surgical treatment carrying a high mortality rate, particularly in patients with systolic heart dysfunction. We present a case of successful TAVR explantation with left ventricular assist device insertion in a patient with persistent TAVR IE and refractory congestive heart failure with a left ventricular ejection fraction of 20%.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 64-66"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993124002730","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
A 60-year-old man with diabetes mellitus and aortic stenosis who had undergone transcatheter aortic valve replacement (TAVR) presented with persistent TAVR-associated infective endocarditis (TAVR IE) despite a prolonged antibiotic course. TAVR IE is a rare yet fatal complication, with surgical treatment carrying a high mortality rate, particularly in patients with systolic heart dysfunction. We present a case of successful TAVR explantation with left ventricular assist device insertion in a patient with persistent TAVR IE and refractory congestive heart failure with a left ventricular ejection fraction of 20%.
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