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You are here: Contents > 2014 > Volume 23 Number 5 September 2014 > AORTIC VALVE DISEASE > Transcatheter Aortic Valve Implantation with a Giant Vegetation Successfully Treated with Antibiotics: Insights into a New Group of Patients with Endocarditis

Transcatheter Aortic Valve Implantation with a Giant Vegetation Successfully Treated with Antibiotics: Insights into a New Group of Patients with Endocarditis

Carmen Olmos, Isidre Vilacosta, Carlos Ferrera, David Vivas, Cristina Sánchez-Enrique, Teresa Nogales, Gabriela Tirado

Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain

During recent years, transcatheter aortic valve implantation (TAVI) has become an alternative therapeutic option for patients with severe symptomatic aortic stenosis who are at high surgical risk. Although infective endocarditis (IE) is a potential and serious complication in this group of patients, the best therapeutic approach for IE in patients with TAVI has not been well established. Here, the case is reported of a patient with a giant vegetation after TAVI infection that was successfully treated without surgery. The hope is to provide some clinical insight into this new group of patients with IE.


Movie 1: Transesophageal echocardiogram two-dimensional 120° view showing a giant vegetation attached to the non-coronary cusp of the bioprosthesis

Movie 2: Transesophageal echocardiogram two-dimensional 120° view showing disappearance of the vegetation after seven days of antibiotic therapy.

Movie 3: Transesophageal echocardiogram two-dimensional 120° color Doppler view showing mild periprosthetic regurgitation.

The Journal of Heart Valve Disease 2014;23:534-536

Transcatheter Aortic Valve Implantation with a Giant Vegetation Successfully Treated with Antibiotics: Insights into a New Group of Patients with Endocarditis

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