RESUMO
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.
Assuntos
Estenose da Valva Aórtica/terapia , Valva Aórtica/patologia , Valvuloplastia com Balão/efeitos adversos , Calcinose/terapia , Cateterismo Cardíaco/efeitos adversos , Traumatismos Cardíacos/etiologia , Septos Cardíacos/lesões , Implante de Prótese de Valva Cardíaca/efeitos adversos , Doença Iatrogênica , Idoso de 80 Anos ou mais , Insuficiência da Valva Aórtica/etiologia , Estenose da Valva Aórtica/diagnóstico , Calcinose/diagnóstico , Ecocardiografia Doppler em Cores , Ecocardiografia Transesofagiana , Evolução Fatal , Feminino , Traumatismos Cardíacos/diagnóstico , Septos Cardíacos/diagnóstico por imagem , Implante de Prótese de Valva Cardíaca/métodos , Humanos , Fatores de Tempo , Tomografia Computadorizada por Raios XRESUMO
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.
RESUMO
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.