AI Article Synopsis
- - The techniques for mitral valve repair have significantly improved, with percutaneous methods now being a safe option for high-risk surgical patients, though using prosthetic devices raises the risk of endocarditis.
- - A case study describes a 75-year-old man who underwent percutaneous edge-to-edge mitral valve treatment and later developed a fever, leading to a diagnosis of endocarditis caused by Staphylococcus lugdunensis.
- - The case highlights the critical importance of managing chronic infections in patients with prosthetic implants to minimize the risk of life-threatening complications like endocarditis.
Article Abstract
techniques of mitral valve repair has improved in the last decades. Percutaneous approach is now a reliable and safe therapy in those patients with high surgical risk. However, the presence of an implanted prothesis increases the risk of endocarditis. we describe a case of a 75-year-old man with medical history of recurrent cellulitis due to chronic lymphedema, who had percutaneous edge-to-edge mitral valve treatment. After three months he developed fever without any specific symptoms. Emocolture were positive for Staphilococcus lugdunensis. Transesophageal echocardiogram demonstrated a huge vegetation at the level of Edwards Pascal device. Patients was then referred to cardiac surgery for mitral valve replacement with bioprothesis. in patients needing a prothesis implantation the management and treatment of chronic infection is of paramount importance to reduce the risk of prothesis infection procedure. Endocarditis after percutaneous edge-to-edge mitral valve treatment represents a rare but a life-threatening condition.
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| http://dx.doi.org/10.1007/s10554-024-03267-9 | DOI Listing |
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