Abstract #300085: Impact of Obesity on Outcomes of Patients with Infective Endocarditis Who Had Mitral Or Aortic Valve Replacement

A patient with infective endocarditis (IE), complicated by the development of the abscess of the spleen, is described. The diagnosis of IE was verified several months after the onset of clinical symptoms (fever, hemorrhagic skin rashes, splenomegaly).The patient suspected hemorrhagic vasculitis and lymphoma of the spleen, which were not confirmed. With transesophageal echocardiography, vegetations on the aortic valve have been identified, and, according to CT, a spleen infarct with suspected abscess. A successful simultaneous operation was performed - aortic valve replacement and splenectomy. An abscess was found in the spleen. The patient is discharged in a satisfactory condition.

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The prevalence of infective endocarditis after aortic valve replacement

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(95)70035-8 ◽

1995 ◽

Vol 110 (6) ◽

pp. 1708-1724 ◽

Cited By ~ 61

Author(s):

Arvind K. Agnihotri ◽

David C. McGiffin ◽

Andrew J. Galbraith ◽

Mark F. O'Brien

Keyword(s):

Infective Endocarditis ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement

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Acquired left ventricular-right atrial and right ventricular communication due to infective endocarditis after aortic valve replacement

American Heart Journal ◽

10.1016/0002-8703(90)90146-o ◽

1990 ◽

Vol 120 (5) ◽

pp. 1233-1234 ◽

Cited By ~ 12

Author(s):

Josef Kautzner ◽

Miroslav J. Munclinger ◽

Michaela Kozáková

Keyword(s):

Infective Endocarditis ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Right Ventricular ◽

Valve Replacement ◽

Left Ventricular ◽

Right Atrial

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Abstract 13923: Incidence and Outcomes of Infective Endocarditis After 180 Days in Transcatheter Aortic Valve Replacement and Mitraclip

Circulation ◽

10.1161/circ.142.suppl_3.13923 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Manpreet Kaur ◽

Anas M Saad ◽

Keerat Ahuja ◽

Simrat Kaur ◽

Toshiaki Isogai ◽

...

Keyword(s):

Infective Endocarditis ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

International Classification Of Diseases ◽

Chi Square ◽

Transcatheter Aortic Valve ◽

Classification Of Diseases ◽

Chi Square Test

Background: Infective endocarditis (IE) after Transcatheter aortic valve replacement (TAVR) and Mitra Clip (MC) occurs less commonly but is associated with grave complications. We aim to report the incidence and outcomes of IE within 180 days of TAVR and MC. Methods: We used the Nationwide Readmissions Database (NRD) between 2014 and 2017 to select patients who underwent either TAVR or MC between January and June every year (to allow for at least 180 days of follow up in the NRD) using the appropriate International Classification of Diseases-9 th and 10 th revision (ICD) codes. We performed a chi-square test to compare baseline characteristics and rates of IE after TAVR and MC procedures. All statistical analyses were performed the using SPSS version 26. Results: We included 68,270 and 7,080 patients who underwent TAVR and MC respectively, of which 0.68% vs. 0.94% (P=.012), developed IE respectively within 180 days of procedure. During that index hospitalization, in-hospital mortality rates did not differ between the two groups (15.08% in TAVR vs. 17.91%, in MC P=.587). Other outcomes are presented in table 1. Conclusion: Our study suggests that the overall incidence of IE following TAVR and MC is relatively low but appropriate preventive measures should be taken after the procedures to reduce the morbidity and mortality. Further studies and analysis are required in modern MC and TAVR techniques to circumvent this critical complication.

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