scholarly journals A rare case of infective endocarditis in a quadricuspid aortic valve caused by Gemella sanguinis

2021 ◽  
Vol 7 (3) ◽  
pp. 17
Author(s):  
Hyun Ji ◽  
Shravya Vinnakota ◽  
Walter R. Wilson ◽  
Vuyisile T. Nkomo
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Rare Case ◽  
English Literature ◽  
Quadricuspid Aortic Valve ◽  
Rare Occurrence ◽  
Transesophageal Echocardiogram ◽  
Intravenous Antibiotics

Infective endocarditis (IE) in patients with a quadricusp aortic valve (QAV) is a rare occurrence that has only been described nine times in English literature. Similar in rarity, IE by Gemella sanguinis has only been described ten times. It has never been described in a patient with QAV. We describe a case of Gemella sanguinis infective endocarditis of a quadricusp aortic valve in a patient in his 4th decade of life. His QAV was detected on pre-operative transesophageal echocardiogram and confirmed intra-operatively. The patient was managed with bioprosthetic aortic valve replacement and a 6-week course of intravenous antibiotics.

scholarly journals Rare case of quadricuspid aortic valve

2009 ◽  
Vol 56 (2) ◽  
pp. 97-99
Author(s):  
S. Micovic ◽  
B.P. Djukanovic ◽  
P.S. Milojevic ◽  
D. Nezic ◽  
M. Jovic ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Rare Case ◽  
Pulmonary Valve ◽  
Quadricuspid Aortic Valve ◽  
Valve Regurgitation ◽  
Unequal Distribution ◽  
Rare Congenital Anomaly

Quadricuspid aortic valve is rare congenital anomaly. There are only 197 cases published in literature so far. That includes clinical and autopsy reports. This congenital anomaly occurs more often in pulmonary valve but function stays normal in 10 of 11es. On the other side, in aortic position valve is malfunctioning in 50% of cases. Valve regurgitation is more likely to occur than stenosis In this kind of malformation, valves are prone to early dysfunction and endocarditis due to different valve architecture and unequal distribution of mechanical stress along valve cusps. Aortic valve replacement is indicated in younger population of these patients. This is a case report of rare congenital anomaly of big blood vessels - aortic valve with four cusps. This anomaly produced significant aortic regurgitation so this patient was indicated for aortic valve replacement.

Epidemiology of infective endocarditis in transcatheter aortic valve replacement: systemic review and meta-analysis

2020 ◽  
Vol 21 (10) ◽  
pp. 790-801 ◽  
Author(s):  
Narut Prasitlumkum ◽  
Wasawat Vutthikraivit ◽  
Sittinun Thangjui ◽  
Thiratest Leesutipornchai ◽  
Jakrin Kewcharoen ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Meta Analysis ◽  
Systemic Review ◽  
Transcatheter Aortic Valve

scholarly journals Over 20 years experience with aortic homograft in aortic valve replacement during acute infective endocarditis

2016 ◽  
Vol 50 (6) ◽  
pp. 1158-1164 ◽  
Author(s):  
Silvia Solari ◽  
Stefano Mastrobuoni ◽  
Laurent De Kerchove ◽  
Emiliano Navarra ◽  
Parla Astarci ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Homograft

scholarly journals Abscess of the spleen in a patient with infectious endocarditis

2018 ◽  
Vol 90 (11) ◽  
pp. 98-101
Author(s):  
L I Dvoretsky ◽  
S V Yakovlev ◽  
E V Sergeeva ◽  
S E Kolendo
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transesophageal Echocardiography ◽  
Valve Replacement ◽  
Clinical Symptoms ◽  
Infectious Endocarditis ◽  
Simultaneous Operation ◽  
Satisfactory Condition

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.

scholarly journals The prevalence of infective endocarditis after aortic valve replacement

1995 ◽  
Vol 110 (6) ◽  
pp. 1708-1724 ◽  
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

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

Circulation ◽  
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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