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“Double‐barrel endocarditis”
Author(s) -
Irabien Ángela,
GilJaurena JuanMiguel,
Pita Ana,
PérezCaballero Ramón,
GonzálezPinto Ángel
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14141
Subject(s) - medicine , ventricular outflow tract , endocarditis , percutaneous , surgery , ventricle , complication , infective endocarditis , pulmonary valve , cardiology
Abstract We report a case of an 18‐year‐old woman who presented with infective endocarditis (IE), in two conduits percutaneously delivered in the right ventricle outflow tract (“double‐barrel endocarditis”). The patient's clinical presentation, echocardiogram findings, infectious agent, clinical management, surgical approach, and follow‐up assessment are described. Percutaneous pulmonary valve implantation has emerged as a viable therapy for conduit dysfunction in the right ventricular outflow tract. Although the percutaneous approach has several advantages, this strategy and the valves used are not complication‐free. IE after transcatheter valve deployment has evoked the growing concern, as there is a higher incidence in these patients compared with patients with surgically repaired pulmonary valves. As a result, this type of surgical treatment is especially important.