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Updated: Jul 28, 2026

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Published on: July 18, 2014
Concurrent Explant of Infected Transcatheter Aortic Valve and Implant of Ventricular Assist Device
Zaid Abood1, M Fuad Jan1,2, Omar Nahhas1
1Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St Luke's Medical Centers, Advocate Aurora Health, Milwaukee, Wisconsin.
Abstract:
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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