Related Experiment Video
Updated: Aug 20, 2025
05:31
Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
2.9K
Transcatheter Aortic Valve Replacement as a Rescue Treatment for Prosthetic Valve Endocarditis
Milos Brankovic1,2, Julia Ansari3, Ravindra Karanam4
1Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
JACC. Case Reports
|November 21, 2022
Summary
A 74-year-old man with endocarditis affecting his bioprosthetic aortic valve experienced severe aortic insufficiency. Rescue transcatheter aortic valve-in-valve replacement successfully treated the condition, leading to full recovery in this non-surgical candidate.
Area of Science:
- Cardiology
- Infectious Diseases
- Interventional Cardiology
Background:
- Bioprosthetic aortic valve replacement carries risks, including infective endocarditis.
- Infective endocarditis can lead to severe aortic insufficiency and cardiogenic shock.
- Surgical intervention may not be feasible for all patients with prosthetic valve endocarditis.
Observation:
- A 74-year-old male presented with acute severe aortic insufficiency and cardiogenic shock.
- The patient had a history of bioprosthetic aortic valve replacement.
- Infective endocarditis was diagnosed, caused by Diphtheroides and Enterococcus species.
Findings:
- The patient was deemed not a surgical candidate by a multidisciplinary team.
- A rescue transcatheter aortic valve-in-valve replacement was performed.
- The procedure resulted in complete recovery of the patient.
Implications:
- Transcatheter aortic valve-in-valve replacement can be a life-saving option for high-risk patients with prosthetic valve endocarditis.
- This case highlights the successful application of interventional cardiology in managing complex cardiovascular infections.
- Further research may explore the long-term outcomes of transcatheter valve-in-valve procedures in endocarditis patients.
Keywords:
AS, aortic stenosisIE, infective endocarditisPVE, prosthetic valve endocarditisprosthetic valve endocarditistranscatheter aortic valve replacementvalve-in-valveMore Related Videos
Related Concept Videos
01:18Endocarditis III: Medical Management
11
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...
11
01:25Endocarditis I: Introduction
20
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...
20
01:25Aortic Regurgitation III: Medical Management
32
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
32
01:26Mitral Stenosis III: Medical Management
16
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
16
01:29Endocarditis IV: Nursing Management
22
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...
22
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
31
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
31