PDF(Pubmed)
Abstract：
Transcatheter aortic valve replacement (TAVR) is the percutaneous alternative to traditional surgery. Infective endocarditis is a fatal complication of TAVR, especially in the elderly. A 65-year-old male with a history of valve-in-valve TAVR presented to our emergency room with altered mentation. On examination, he was febrile. Laboratory investigations and echocardiography suggested infective endocarditis. Explantation and surgical aortic valve replacement were planned. The biopsy of the prostheses showed acute inflammation. Transcatheter prosthetic valve endocarditis warrants early diagnosis, particularly in the elderly. Our case emphasizes the importance of the prompt inclusion of endocarditis in the differential and surgical referral.
摘要：
经导管主动脉瓣置换术（TAVR）是传统手术的经皮替代方法。感染性心内膜炎是TAVR的致命并发症,尤其是老年人。一名65岁的男性，有瓣膜中瓣膜TAVR的病史，他出现在我们的急诊室。在检查中，他发烧了。实验室检查和超声心动图提示感染性心内膜炎。计划进行手术切除和主动脉瓣置换术。假体的活检显示急性炎症。经导管人工瓣膜心内膜炎值得早期诊断，尤其是老年人。我们的案例强调了在鉴别和手术转诊中迅速纳入心内膜炎的重要性。
