Prosthetic valve endocarditis following transcatheter aortic
Transcatheter aortic valve implantation (TAVI) has emerged as an alternative for the treatment of severe symptomatic aortic stenosis for patients at high risk for open surgery. Although experience with TAVI is increasing, few cases of post-TAVI endocarditis are reported.

Published in the European Heart Journal Case Reports, the authors present a case of an 87-year-old female patient who presented with fever, unresponsive to empiric antibiotics 3 months after a TAVI procedure for severe aortic valve stenosis.

After some delay due to three hospitalizations in primary care hospitals, she was transferred general intensive care unit where the diagnosis of endocarditis due to Corynebacterium was made. The patient was transferred abroad to a specialized surgical centre of excellence and underwent aortic root and valve replacement with a homograft. After several post-operative complications the patient’s condition improved and is presently satisfactory.

Learning points:-
• Post-transcatheter aortic valve implantation (TAVI) endocarditis is being increasingly reported in literature as TAVI becomes more prevalent.

• Transoesophageal echocardiogram is the imaging investigation of choice when post-TAVI endocarditis is suspected.

• Corynebacterium endocarditis post-TAVI is rarely reported in the literature.

• Prevention through adherence to aseptic techniques might lead to fewer infection related complications.

• Early identification and appropriate treatment tailored to case might lead to a favourable outcome.

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