RESUMEN
Transcatheter aortic valve implantation (TAVI) is sometimes associated with severe complications due to the unpredictability of such closed-chest procedures. Reported complications include atrioventricular blocks, vascular complications, aortic root rupture, aorto-right ventricular fistulas, and aortic dissections. Herein is presented the case of an 88-year-old female with a late atrioventricular septal defect that developed after TAVI.
Asunto(s)
Estenosis de la Válvula Aórtica/terapia , Válvula Aórtica/patología , Valvuloplastia con Balón/efectos adversos , Calcinosis/terapia , Cateterismo Cardíaco/efectos adversos , Lesiones Cardíacas/etiología , Tabiques Cardíacos/lesiones , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Enfermedad Iatrogénica , Anciano de 80 o más Años , Insuficiencia de la Válvula Aórtica/etiología , Estenosis de la Válvula Aórtica/diagnóstico , Calcinosis/diagnóstico , Ecocardiografía Doppler en Color , Ecocardiografía Transesofágica , Resultado Fatal , Femenino , Lesiones Cardíacas/diagnóstico , Tabiques Cardíacos/diagnóstico por imagen , Implantación de Prótesis de Válvulas Cardíacas/métodos , Humanos , Factores de Tiempo , Tomografía Computarizada por Rayos XRESUMEN
An 84-year-old man presented with dyspnea at rest due to severe mitral regurgitation. He first underwent transventricular mitral valve repair with the Harpoon system, which relapsed owing to rupture of neochords. He was definitively treated with transcatheter mitral valve implantation of the Tendyne system 8 months later.
RESUMEN
Fungal endocarditis/aortitis is an uncommon yet emerging entity accounting for 2% to 4% of all cases of infective endocarditis and continues to be associated with a poor prognosis. We present the first case of polyethylene-terephthalate (PETE) graft aortitis caused by A. niger, a rare fungal agent. Early diagnosis with frequent transoesophageal echocardiography (TEE) and a prompt surgical intervention coupled with optimal antifungal therapy are still the only option to reduce the exceedingly high mortality and morbidity.