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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...

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Related Experiment Video

Updated: Jun 12, 2026

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
05:31

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Published on: June 8, 2022

Transapical aortic valve prosthetic endocarditis.

Manuel Carnero-Alcázar1, Luis Carlos Maroto Castellanos, Javier Cobiella Carnicer

  • 1Department of Cardiac Surgery, Hospital Clinico San Carlos, Madrid, Spain. manuelcarneroalcazar@hotmail.es

Interactive Cardiovascular and Thoracic Surgery
|June 24, 2010
PubMed
Summary

A patient developed prosthetic aortic valve endocarditis four months after transapical aortic valve implantation, leading to fatal heart failure. This case highlights the need for improved prevention strategies for infective endocarditis following transcatheter aortic valve implantation.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure for aortic stenosis.
  • Prosthetic valve endocarditis is a serious complication following cardiac surgery and device implantation.
  • Infective endocarditis after TAVI presents unique diagnostic and management challenges.

Observation:

  • An 83-year-old female patient with a history of transapical aortic valve implantation (TAVI) presented with fever and heart failure four months post-procedure.
  • Diagnostic workup confirmed prosthetic aortic valve endocarditis.
  • Due to high surgical risk, the patient's family declined further surgical intervention.

Findings:

  • The patient experienced a fatal outcome shortly after the diagnosis of prosthetic aortic valve endocarditis.
  • This case underscores the potential for late-onset infective endocarditis following TAVI.
  • The diagnosis was complicated by the patient's advanced age and comorbidities.

Implications:

  • There is a critical need to develop and implement effective prophylactic measures to prevent infective endocarditis in TAVI patients.
  • Further research is warranted to identify risk factors and optimize surveillance protocols for post-TAVI endocarditis.
  • Early recognition and management strategies are crucial for improving outcomes in this vulnerable patient population.