Gedela Maheedhar, Shrestha Anup, Stys Tomasz, Stys Adam
Sanford Cardiovascular Institute, Sioux Falls, South Dakota.
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2018 Dec;71(12):546-549.
Infective endocarditis after transcatheter aortic valve implantation is a life-threating complication, resulting in high in-hospital and one-year mortality. With the ongoing evolution of transcatheter aortic interventions, the proportion of endocarditis cases encountered by health care providers will continue to rise. Early diagnosis of infective endocarditis is of paramount importance to institute appropriate treatment with antibiotics and/or surgery to avoid negative clinical outcomes. In this review, we outline our experience with two cases of infective endocarditis following transcatheter aortic valve implantation and briefly review the literature on the incidence, microbiology, diagnosis, and management of this condition.
经导管主动脉瓣植入术后感染性心内膜炎是一种危及生命的并发症，导致较高的住院死亡率和一年死亡率。随着经导管主动脉介入技术的不断发展，医疗保健提供者遇到的心内膜炎病例比例将继续上升。感染性心内膜炎的早期诊断对于采用抗生素和/或手术进行适当治疗以避免不良临床结果至关重要。在本综述中，我们概述了两例经导管主动脉瓣植入术后感染性心内膜炎的经验，并简要回顾了关于这种疾病的发病率、微生物学、诊断和管理的文献。
