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OBJECTIVE: We present a 72-years-old male patient suffering from active infective aortic prosthetic endocarditis two months after emergency surgery with aortic valve implantation and aortic arch reconstruction using a Dacron patch, due to spontaneous post-procedural migration of a transcatheter valve (TAVI).
METHODS: The heart team considered a TAVI procedure due to increased operative risk demonstrated by a 10.9% euroSCORE II at this time, 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.
RESULTS: Today, however the euroSCORE II was extremely high (55%) due to active infective prosthetic endocarditis and aortic arch reoperation. A sutureless aortic valve was implanted and pericardial patch repair of the aortic ascending and arch. Post-operative sternal re-stabilization was needed.
CONCLUSIONS: The patient was discharge home after 42 days. No recurrent endocarditis was diagnosed during follow-up.