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Rare Case of Early Mycotic Ascending Aortic Aneurysm Following Transcatheter Aortic Valve Replacement

Bharat S Sambyal1, Nitin Patel2, Prashant Panda2

  • 1Department of Cardiology, Indian Naval Hospital Ship ASVINI, RC Church, Colaba, Mumbai.

JACC. Case Reports
|February 20, 2025
PubMed

Insights

Prosthetic valve endocarditis is a rare but serious complication. This case highlights a unique mycotic aneurysm in the ascending aorta following transcatheter aortic valve replacement (TAVR).

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Prosthetic valve endocarditis (PVE) is a rare complication of cardiac valve surgery.
  • Mycotic aneurysms are uncommon infections of the arterial wall, often associated with intravenous drug use or bacteremia.
  • Transcatheter aortic valve replacement (TAVR) is an increasingly common procedure for aortic stenosis.

Observation:

  • A mycotic aneurysm developed in the ascending aorta after a TAVR procedure.
  • This is an unusual presentation, as mycotic aneurysms are more commonly reported in association with femoral arterial access sites post-TAVR.

Findings:

  • The case demonstrates a rare instance of ascending aortic mycotic aneurysm following TAVR.
  • This complication, though infrequent, underscores the potential for serious infectious sequelae after TAVR.

Implications:

  • Early recognition and management of suspected mycotic aneurysms post-TAVR are crucial.
  • Further research may be needed to understand the specific risk factors and optimal treatment strategies for this rare complication.
Keywords:
infective endocarditisprosthetic valve endocarditisthoracic aortic mycotic aneurysmstranscatheter aortic valve replacement

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