Endocarditis tardía post-TAVI con requerimiento de reemplazo de válvula aórtica por esternotomía: un caso desafiante

IF 0.3 Q4 SURGERY Cirugia Cardiovascular Pub Date : 2023-11-01 DOI:10.1016/j.circv.2023.06.003
Paola Gonzalez , Camilo Rodriguez , Ricardo Barragan , Dayanna Hernandez Villa
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Abstract

Percutaneous aortic valve implantation represents an alternative for the treatment of patients with aortic stenosis. This is an option in patients with high surgical risk or contraindication for intervention by conventional sternotomy; with good results in the short and medium term. However it is a procedure associated with complications such as endocarditis, which may require a urgent intervention in these patients with an increase in morbidity and mortality given the history and condition at the time of surgery. We present a clinical case of a nonagenarian patient with post-percutaneous aortic valve implantation endocarditis due to Enterococcus faecalis who presented 8 months after percutaneous aortic valve implantation in our center and required surgical management with excellent results.

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TAVI后晚期心内膜炎需要胸骨切开更换主动脉瓣:一个具有挑战性的病例
经皮主动脉瓣植入术是主动脉瓣狭窄患者的另一种治疗方法。对于手术风险高或有常规胸骨切开术干预禁忌的患者,这是一种选择;短期和中期效果良好。然而,这是一种与心内膜炎等并发症相关的手术,考虑到手术时的病史和状况,这些患者的发病率和死亡率可能会增加,因此可能需要紧急干预。我们报告一例因粪肠球菌引起的经皮主动脉瓣置入术后心内膜炎的老年患者,在我中心经皮主动脉瓣置入术后8个月出现,需要手术治疗,效果良好。
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来源期刊
CiteScore
0.50
自引率
66.70%
发文量
109
审稿时长
69 days
期刊最新文献
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