Implantation of Sutureless Aortic Valve in a High- Risk Patient with Active Infective Endocarditis TAVI-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Active infective endocarditis (AIE) is major problem especially for patients with prior valve intervention or device implantation. We present a 77-year-old patient suffering from AIE 14 months after transcatheter-implanted aortic valve (TAVI). The heart team considerated TAVI by increased operative risk, Euro SCORE of 10.42%, including sever pulmonary hypertension, chronic obstructive pulmonary disease, insulin depending diabetes mellitus, chronic renal failure and polyneuropathy. Post-interventional, the patient suffered from an aneurysm spurium. During follow-up, the patient underwent dental treatment and afterwards developed 39°C fever und blood culture showed repeatedly Escherichia Coli. Echocardiographic examination showed a new paravalvular leakage with limited vegetation at the TAVI. The heart team decided, although a Euro SCORE of 63.57%, appropriate antimicrobial