Work

Surgical Approach for TAVI Replacement in Endocarditis: A Descriptive Technique

Year: 2025

Type: article

Abstract: Background/Objectives: Transcatheter Aortic Valve Implantation (TAVI) has significantly improved the management of aortic valve disease, but post-TAVI infective endocarditis, occurring in 0.5–3.1% of cases, remains a serious complication. Due to a high mortality rate and technical challenges, surgical replacement of infected TAVI prosthetic valves is performed in only 11.4% of cases. Methods: This case describes a standardized surgical technique for the removal and replacement of self-expanding TAVI prosthetic valves in the case of infective endocarditis. Results: The proposed approach aims to facilitate valve explantation while minimizing surgical risks. Conclusions: We believe that this technique could be particularly beneficial for surgeons managing these complex cases, by reducing surgical complications and improving patient outcomes. Further studies are necessary to validate its long-term efficacy and applicability in broader clinical settings.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm14072348

Authors: Sébastien D’ulisse, Karim Homsy, Sotirios Marinakis, Serge Cappeliez, Badih El Nakadi

Institutions: Université Libre de Bruxelles, Hôpital Civil de Charleroi

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137