Surgical Treatment for Prosthetic Aortic Valve Endocarditis Complicated with Cardiac Implantable Electronic Devices Infection

DOI Web Site 12 References
  • Okada Shuichi
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Naito Shigeto
    Division of Cardiology, Gunma Prefectural Cardiovascular Center
  • Ezure Masahiko
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Hasegawa Yutaka
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Yamada Yasuyuki
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Hoshino Joji
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Nakamura Koki
    Division of Cardiology, Gunma Prefectural Cardiovascular Center
  • Sasaki Takehito
    Division of Cardiology, Gunma Prefectural Cardiovascular Center
  • Morishita Hiroyuki
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Seki Masahiro
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
  • Tamura Kazuki
    Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center

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Other Title
  • 心臓植込み型電気デバイス感染に人工弁感染性心内膜炎を合併した1例

Abstract

<p>A 54-year-old woman who had been diagnosed with cardiac implantable electronic devices（CIEDs）infection had been receiving conservative management but then suffered septic shock. She was diagnosed with prosthetic aortic valve endocarditis with aorto-right atrium fistula. She was referred to our hospital. Her pacemaker system was removed using an excimer laser sheath, the prosthetic valve was removed and replaced with a 25mm bioprosthetic valve, and the aorto-right atrium fistula was closed with a rifampicin-soaked bovine pericardial patch. Residural aorto-right atrium shunt was not detected after the operation, and her post operative course was uneventful without congestive heart failure or signs of infection.</p>

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