Endocarditis after transfemoral aortic valve implantation in a patient with Osler-Weber-Rendu syndrome

Alessandro Castiglioni, Alberto Pozzoli, Francesco Maisano, Ottavio Alfieri

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the case of a patient with Osler-Weber-Rendu (OWR) syndrome, in which the TAVI procedure was preferred at the outset to avoid the risk of bleeding. He was diagnosed with endocarditis on the TAVI device one year later; he then underwent an uneventful surgical aortic valve replacement. In these complex clinical cases it is difficult to determine a 'gold standard' treatment and the possibility of offering patients both the percutaneous treatment and the surgical replacement appears to be desirable. Correction of the valve disease improves the outcome, reducing the episodes of haemorrhage and the need for blood transfusions.

Original languageEnglish
Pages (from-to)553-554
Number of pages2
JournalInteractive Cardiovascular and Thoracic Surgery
Volume15
Issue number3
DOIs
Publication statusPublished - Sep 2012

Fingerprint

Hereditary Hemorrhagic Telangiectasia
Endocarditis
Aortic Valve
Hemorrhage
Equipment and Supplies
Aortic Valve Stenosis
Surgical Instruments
Blood Transfusion
Therapeutics
Transcatheter Aortic Valve Replacement
Infection

Keywords

  • Aortic valve replacement
  • Endocarditis
  • Osler-Weber-Rendu syndrome
  • TAVI
  • Transfemoral aortic valve implantation
  • Transoesophageal echocardiogram

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Endocarditis after transfemoral aortic valve implantation in a patient with Osler-Weber-Rendu syndrome. / Castiglioni, Alessandro; Pozzoli, Alberto; Maisano, Francesco; Alfieri, Ottavio.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 15, No. 3, 09.2012, p. 553-554.

Research output: Contribution to journalArticle

@article{aa692652b25d4b41b55e3da9391187bf,
title = "Endocarditis after transfemoral aortic valve implantation in a patient with Osler-Weber-Rendu syndrome",
abstract = "Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the case of a patient with Osler-Weber-Rendu (OWR) syndrome, in which the TAVI procedure was preferred at the outset to avoid the risk of bleeding. He was diagnosed with endocarditis on the TAVI device one year later; he then underwent an uneventful surgical aortic valve replacement. In these complex clinical cases it is difficult to determine a 'gold standard' treatment and the possibility of offering patients both the percutaneous treatment and the surgical replacement appears to be desirable. Correction of the valve disease improves the outcome, reducing the episodes of haemorrhage and the need for blood transfusions.",
keywords = "Aortic valve replacement, Endocarditis, Osler-Weber-Rendu syndrome, TAVI, Transfemoral aortic valve implantation, Transoesophageal echocardiogram",
author = "Alessandro Castiglioni and Alberto Pozzoli and Francesco Maisano and Ottavio Alfieri",
year = "2012",
month = "9",
doi = "10.1093/icvts/ivs230",
language = "English",
volume = "15",
pages = "553--554",
journal = "Interactive Cardiovascular and Thoracic Surgery",
issn = "1569-9293",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "3",

}

TY - JOUR

T1 - Endocarditis after transfemoral aortic valve implantation in a patient with Osler-Weber-Rendu syndrome

AU - Castiglioni, Alessandro

AU - Pozzoli, Alberto

AU - Maisano, Francesco

AU - Alfieri, Ottavio

PY - 2012/9

Y1 - 2012/9

N2 - Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the case of a patient with Osler-Weber-Rendu (OWR) syndrome, in which the TAVI procedure was preferred at the outset to avoid the risk of bleeding. He was diagnosed with endocarditis on the TAVI device one year later; he then underwent an uneventful surgical aortic valve replacement. In these complex clinical cases it is difficult to determine a 'gold standard' treatment and the possibility of offering patients both the percutaneous treatment and the surgical replacement appears to be desirable. Correction of the valve disease improves the outcome, reducing the episodes of haemorrhage and the need for blood transfusions.

AB - Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the case of a patient with Osler-Weber-Rendu (OWR) syndrome, in which the TAVI procedure was preferred at the outset to avoid the risk of bleeding. He was diagnosed with endocarditis on the TAVI device one year later; he then underwent an uneventful surgical aortic valve replacement. In these complex clinical cases it is difficult to determine a 'gold standard' treatment and the possibility of offering patients both the percutaneous treatment and the surgical replacement appears to be desirable. Correction of the valve disease improves the outcome, reducing the episodes of haemorrhage and the need for blood transfusions.

KW - Aortic valve replacement

KW - Endocarditis

KW - Osler-Weber-Rendu syndrome

KW - TAVI

KW - Transfemoral aortic valve implantation

KW - Transoesophageal echocardiogram

UR - http://www.scopus.com/inward/record.url?scp=84869399271&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869399271&partnerID=8YFLogxK

U2 - 10.1093/icvts/ivs230

DO - 10.1093/icvts/ivs230

M3 - Article

C2 - 22691380

AN - SCOPUS:84869399271

VL - 15

SP - 553

EP - 554

JO - Interactive Cardiovascular and Thoracic Surgery

JF - Interactive Cardiovascular and Thoracic Surgery

SN - 1569-9293

IS - 3

ER -