Sarı Cenk, Durmaz Tahir, Karaduman Bilge Duran, Keleş Telat, Bayram Hüseyin, Baştuğ Serdal, Özen Mehmet Burak, Bayram Nihal Akar, Bilen Emine, Ayhan Hüseyin, Kasapkara Hacı Ahmet, Bozkurt Engin
Department of Cardiology, Ataturk Research and Training Hospital, Ankara, Turkey.
Yıldırım Beyazıt University, Cardiology Department, Ankara, Turkey.
Hellenic J Cardiol. 2016 Mar-Apr;57(2):119-23. doi: 10.1016/j.hjc.2015.03.001. Epub 2016 Apr 9.
Transcatheter aortic valve implantation (TAVI) was introduced as an alternative treatment for patients with severe symptomatic aortic stenosis for whom surgery would be high-risk. Prosthetic aortic valve endocarditis is a serious complication of surgical AVR (SAVR) with high morbidity and mortality. According to recent cases, post-TAVI prosthetic valve endocarditis (PVE) seems to occur very rarely. We present the case of a 75-year-old woman who underwent TAVI (Edwards Saphien XT) with an uneventful postoperative stay. She was diagnosed with endocarditis using three dimensional (3D) echocardiography on the TAVI device 7 months later and she subsequently underwent surgical aortic valve replacement. Little experience of the interpretation of transoesophageal echocardiography (TEE) and the clinical course and effectiveness of treatment strategies in post-TAVI endocarditis exists. We report a case of PVE in a TAVI patient which was diagnosed with three-dimensional transoesophageal echocardiography (3DTEE).
经导管主动脉瓣植入术（TAVI）被引入作为严重症状性主动脉瓣狭窄患者的替代治疗方法，这类患者接受手术的风险较高。人工主动脉瓣心内膜炎是外科主动脉瓣置换术（SAVR）的一种严重并发症，发病率和死亡率都很高。根据最近的病例，TAVI术后人工瓣膜心内膜炎（PVE）似乎很少发生。我们报告一例75岁女性患者，她接受了TAVI（爱德华 Sapien XT）手术，术后恢复顺利。7个月后，通过对TAVI装置进行三维（3D）超声心动图检查，她被诊断为心内膜炎，随后接受了外科主动脉瓣置换术。目前对于经食管超声心动图（TEE）解读以及TAVI术后心内膜炎治疗策略的临床过程和有效性的经验很少。我们报告一例TAVI患者发生PVE，通过三维经食管超声心动图（3DTEE）确诊。
