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Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
Percutaneous Patent Foramen Ovale Closure Device Endocarditis
Stefan Milutinovic1, Berniece Johnson2, Claudiu Ciuciureanu2
1Department of Cardiovascular Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Image:
Echocardiographic imaging of patent foramen ovale occlusion device endocarditis.
Case Summary:
A 58-year-old man with prior cryptogenic stroke presented with fever and left hip pain. Blood and aspiration cultures were positive for methicillin-resistant Staphylococcus aureus. He underwent transesophageal echocardiography, which showed the device in the mid intra-atrial septum with left and right atrial side vegetations.
Discussion:
Endocarditis of occluding devices is well known, but rare phenomenon occurring within weeks of implantation, suggesting a temporal relationship between incomplete endothelialization and microbial seeding. Endocarditis prophylaxis has been arbitrary recommended for the first 6 months after device implantation.
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