Table 2.
Characteristics of Patients With IE After TPVI (n=69)a
| Parameter | Value |
|---|---|
| Baseline characteristics | |
| Male sex | 84% |
| Age, y | 21.7±11.2 |
| Underlying initial pathologic feature | |
| TOF | 50% |
| AS (S/P Ross procedure) | 18% |
| TA | 15% |
| TGA | 10% |
| Other | 7% |
| RVOT conduit | |
| Homograft | 55% |
| Bioprosthetic valve/valved conduit | 38% |
| Bare stent/Melody valve | 7% |
| Manifestations of IE | |
| Onset after TPVI, mo | 23.6±19.7 |
| Fever | 89% |
| Vegetation | 34% |
| New/worsening greater than mild RVOT obstruction | 79% |
| PG increase in the setting of TPVI, mm Hg | 16.9±8.4 |
| New/worsening greater than mild PR | 6% |
| Blood culture | |
| Staphylococci | 42.0% |
| Streptococci | 30.4% |
| Corynebacterium groupb | 5.8% |
| HACEK group | 4.3% |
| Haemophilus groupc | 2.9% |
| Rothia dentocariosa | 1.4% |
| Aerococcus viridans | 1.4% |
| Escherichia coli | 1.4% |
| Enterococcus foecalis | 1.4% |
| Aspergillus fumigatus | 1.4% |
| Negative cultured | 7.2% |
Data are given as mean±SD unless otherwise indicated. AS indicates aortic stenosis; IE, infective endocarditis; HACEK, Haemophilus parainfluenzae, H. aphrophilus, H. paraphrophilus, H. influenzae, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, Kingella kingae, and K. denitrificans; PG, pressure gradient; PR, pulmonary regurgitation; RVOT, right ventricular outflow tract; S/P, status post; TA, truncus arteriosus; TGA, transposition of the great arteries; TOF, tetralogy of Fallot; TPVI, transcatheter pulmonary valve implantation.
From 22 reports published between 2011 and 2017.17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38
Corynebacterium pseudodiphtheriticum in 3 cases and Corynebacterium striatum in 1 case.
Haemophilus influenzae in 1 case and Haemophilus parainfluenzae in another case.
In 3 cases, serologic findings and polymerase chain reaction of excised valves revealed Bartonella henselae.