Aortic valve endocarditis in a transplanted heart after urethral instrumentation

Ann Thorac Surg. 2013 Sep;96(3):e61-2. doi: 10.1016/j.athoracsur.2013.03.113.

Abstract

Endocarditis represents a rare but life-threatening condition after heart transplantation. Recent American Heart Association guidelines recognize cardiac transplant patients with valvulopathy as high risk for endocarditis, but acknowledge that there were not sufficient data to make a recommendation for prophylaxis. Also, genitourinary procedures were no longer considered a risk factor for endocarditis in the most recent guidelines. We present a patient who acquired aortic valve endocarditis of the intact valve, after multiple urethral instrumentation 2 years after heart transplantation, who was successfully treated by aortic valve replacement and prolonged antibiotic therapy.

Keywords: 34.

Publication types

  • Case Reports

MeSH terms

  • Antibiotic Prophylaxis
  • Aortic Valve / microbiology
  • Aortic Valve / pathology
  • Aortic Valve Insufficiency / diagnostic imaging
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Echocardiography, Transesophageal / methods
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / etiology
  • Endocarditis, Bacterial / surgery
  • Enterococcus faecalis / isolation & purification*
  • Follow-Up Studies
  • Gram-Positive Bacterial Infections / drug therapy
  • Heart Failure / diagnosis
  • Heart Failure / surgery
  • Heart Transplantation / methods
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / physiopathology
  • Postoperative Complications / surgery
  • Risk Assessment
  • Treatment Outcome
  • Urethral Stricture / diagnosis
  • Urethral Stricture / surgery*
  • Urologic Surgical Procedures, Male / adverse effects*
  • Urologic Surgical Procedures, Male / methods