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Mitral Valve Endocarditis in Patient Awaiting TAVI: A Case Report
Faith Michael1, Jamie Farrow2, Anthony Main3
1Northern Ontario School of Medicine University, Sudbury, ON, Canada.
Clinical Medicine Insights. Case Reports
|March 20, 2023
Summary
Infective endocarditis (IE) is a risk for patients awaiting transcatheter aortic valve implantation (TAVI). This case highlights IE as a cause of heart failure in TAVI candidates, necessitating further research.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Case Reports
Background:
- Literature on infective endocarditis (IE) primarily examines risks post-transcatheter aortic valve implantation (TAVI).
- The risk of IE in patients awaiting TAVI remains under-investigated.
- Patients awaiting TAVI often have pre-existing risk factors for IE, including valvular disease and comorbidities.
Observation:
- An 85-year-old male with severe aortic stenosis presented with decompensated heart failure.
- Echocardiography revealed a large mitral valve vegetation and severe mitral regurgitation, indicative of IE.
- The planned TAVI procedure was canceled due to the IE diagnosis.
Findings:
- The patient's decompensated heart failure was attributed to IE, not solely aortic stenosis.
- Despite antibiotic treatment, the patient's condition deteriorated, leading to palliative care.
Implications:
- IE should be considered in the differential diagnosis of decompensated heart failure in patients awaiting TAVI.
- This case underscores the need for increased awareness and research into IE risks in the pre-TAVI population.
- Understanding pre-TAVI IE risks is crucial for timely diagnosis and management in this vulnerable patient group.
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