Zaid Abood MD , M. Fuad Jan MBBS (Hons), MD , Omar Nahhas MD , Suhail Q. Allaqaband MD , Tanvir Bajwa MD , Eric S. Weiss MD, MPH
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Concurrent Explant of Infected Transcatheter Aortic Valve and Implant of Ventricular Assist Device
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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