Table 3.
Clinical characteristics, echocardiographic features, and management of patients with TAVI-related infective endocarditis
| Clinical characteristics | N = 17 (%) |
|---|---|
| Presenting symptoms | |
| Fever | 13 (76.4) |
| Heart failure | 7 (41.1) |
| Delirium | 3 (17.6) |
| Weight loss | 3 (17.6) |
| Predisposition to IE | |
| New PPM | 3 (17.6) |
| Dental extractions prior to presentation with IE | 3 (17.6) |
| Dental caries | 1 (5.8) |
| Vascular phenomena | 5 (29.4) |
| Intracerebral pseudoaneurysm/ stroke | 1 (5.8) |
| Upper limb deep vein thrombosis | 1 (5.8) |
| Pulmonary embolism | 1 (5.8) |
| Discitis | 1 (5.8) |
| Splenic infarcts | 1 (5.8) |
| Echocardiographic findings | |
| Vegetation | 7 (41.1) |
| Aortic | 4 (23.5) |
| Mitral | 3 (17.6) |
| Tricuspid | 1 (5.8) |
| Pacemaker lead | 1 (5.8) |
| Normal | 5 (29.4) |
| Aortic abscess | 3 (17.6) |
| New aortic regurgitation | 2 (11.7) |
| New tricuspid regurgitation | 1 (5.8) |
| New mitral regurgitation | 1 (5.8) |
| Aorto-atrial fistula | 1 (5.8) |
| Management | |
| Medical management | 15 (88.2) |
| Urgent surgery | 2 (11.7) |
| SAVR + MV repair | 1 (5.8) |
| SAVR + TV repair + MV repair + fistula closure | 1 (5.8) |
IE infective endocarditis, PPM permanent pacemaker, Vascular phenomena, small or large vessel infective emboli, SAVR surgical aortic valve replacement, MV Mitral valve, TV tricuspid valve