Johanna Konertz1, Marc Kastrup2, Sascha Treskatsch2, Pascal M. Dohmen3,4,51Department of Cardiovascular Surgery, Charité Hospital, Medical University Berlin, Berlin, Germany
2Department of Anesthesiology and Intensive Care Medicine, Charité Hospital, Medical University Berlin, Berlin, Germany
3Department of Cardiothoracic Surgery, Faculty of Health Science, University of the Free State, Bloemfontein, South Africa
4Department of Cardiac Surgery, University Hospital Oldenburg, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Germany
5Electronic correspondence: email@example.com
|The case is presented of a 72-year-old male patient suffering from active infective aortic prosthetic endocarditis two months after emergency surgery with aortic valve implantation, and who underwent aortic arch reconstruction using a Dacron patch, due to the spontaneous post-procedural migration of a transcatheter-implanted aortic valve. The heart team considered transcatheter valve implantation (TAVI) due to the increased operative risk demonstrated by a EuroSCORE II of 10.9%, including chronic obstructive pulmonary disease (GOLD 3), cirrhosis (Child-B), esophageal varicose stage
||2, chronic renal failure stage 3, and reduced left ventricular ejection fraction. Subsequently, the EuroSCORE II was extremely high (76%) due to active infective prosthetic endocarditis and the aortic arch reoperation. A sutureless aortic valve was implanted and a pericardial patch repair of the aortic ascending and arch completed. Sternal re-stabilization was required postoperatively. The patient was discharged home after 42 days, and no recurrent endocarditis was diagnosed during follow up.
The Journal of Heart Valve Disease 2016;25:512-514
|A Perceval Valve in Active Infective Bioprosthetic Valve Endocarditis: Case Report|
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