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Different types of endocarditis after transcatheter aortic valve implantation
Author(s) -
Scisło Piotr,
Grodecki Kajetan,
Wilimski Radosław,
Rymuza Bartosz,
Kochman Janusz,
Opolski Grzegorz,
Huczek Ze
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14346
Subject(s) - medicine , stenosis , endocarditis , cardiology , infective endocarditis , regurgitation (circulation) , aortic valve , retrospective cohort study , surgery , complication , mitral regurgitation , single center , cohort
Infective endocarditis (IE) may take different faces in patients after transcatheter aortic valve implantation (TAVI). Objectives The primary aim of this study was to describe echocardiographic and clinical characteristics of TAVI's patients suffered from IE. Methods In a single‐center, retrospective study we analyzed 311 consecutive patients treated with TAVI for severe aortic stenosis between 2010 and 2018. Results According to modified Duke criteria, we confirmed IE in 2.2% of the cohort, however PVE of TAVI's valve in 1.2% only; rest of the group suffered from CDRiE and IE of the mitral valve. In PVE's group vegetations were localized inside the frame with or without bioprosthesis moderate stenosis or regurgitation. Only 1 pts developed significant TAVI's bioprosthesis' paravalvular leak. We observed no native aortic anulus involvement. Mortality rate in the PVE‐TAVI's group was 75% regardless of the type of treatment. Conclusions The above findings show that IE following TAVI is a serious complication and various scenarios (also CDRiE and native valve IE) should be considered.