Description of Event or Problem · 1
HOLD FOR GN 9-2 CUQ NOTE: THIS CASE REFERS TO PT # 11 OF 14 : (B)(6). DEAR ALL, I APOLOGIZE I AM NOT ABLE TO ACCESS ETQ, YET. THUS, I ATTACH A PAPER REPORTING 14 CASES OF ENDOCARDITIS OCCURRED IN PERCEVAL PATIENTS. (B)(6). ENDOCARDITIS ON A PERCEVAL S SUTURELESS PROSTHESIS. A NEW VALVE WITH A NEW FORM OF CLINICAL PRESENTATION. (B)(6). TIME SINCE SURGERY: 7 MONTHS. MICROBIOLOGY: CNS. TEE: IC - MITRO-AORTIC THICKENING. VEGETATION: NO. LEAK: NO. EUROSCORE I/II: 48.4% / 15.4%. PET/CT ANNULAR INVOLVEMENT/ABSCESS: + ABSCESS. SURGICAL TREATMENT: YES. SURGICAL TECHNIQUE: PATCH - PERCEVAL 23. OUTCOME: 20 MONTHS. CUQ NOTE: DEATH OCCURRED AT 7 + 20 = 27 MONTHS (?). ABBREVIATION MEANING: AVR, AORTIC VALVE REPLACEMENT; CKD,CHRONIC KIDNEY DISEASE; CNS,COAGULASE-NEGATIVE STAPHYLOCOCCUS; COPD,CHRONIC OBSTRUCTIVE PULMONARY DISEASE; IC,INCONCLUSIVE; NA, NOT APPLICABLE (PATIENT NOT SUITABLE FOR SURGERY); PET/CT POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY; SI,SURGICAL INTERVENTION; TEE,TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VGS,VIRIDANS GROUP STREPTOCOCCUS. THE DATA ARE EXPRESSED AS NO.(%) OR MEAN +/- STANDARD DEVIATION. SUMMARY: BASED ON INFORMATION RECEIVED FROM THE PAPER "ENDOCARDITIS ON A PERCEVAL S SUTURELESS PROSTHESIS. A NEW VALVE WITH A NEW FORM OF CLINICAL PRESENTATION" BY M.V. GROBA-MARCO. THE PATIENT WAS SUFFERING FROM PROSTHETIC VALVULAR ENDOCARDITIS (PVE). A PERCEVAL PVS 23MM WAS IMPLANTED. AFTER 3 MONTHS OF IMPLANTATION AN ECHO WAS PERFORMED WHICH SHOWED AORTIC THICKENING AND AN ABSCESS. THE PATIENT UNDERWENT SURGICAL TREATMENT AND A PERCEVAL 23MM PATCH WAS IMPLANTED. 20 MONTHS LATER THE PATIENT DIED.THIS CASE REFERS TO PT # 11 OF 14 : BASED ON INFORMATION RECEIVED FROM THE PAPER "ENDOCARDITIS ON A PERCEVAL S SUTURELESS PROSTHESIS. A NEW VALVE WITH A NEW FORM OF CLINICAL PRESENTATION" BY M.V. GROBA-MARCO. THE PATIENT WAS SUFFERING FROM PROSTHETIC VALVULAR ENDOCARDITIS (PVE). A PERCEVAL PVS 23MM WAS IMPLANTED. AFTER 7 MONTHS OF IMPLANTATION AN ECHO WAS PERFORMED WHICH SHOWED AORTIC THICKENING AND AN ABSCESS. THE PATIENT UNDERWENT SURGICAL TREATMENT AND A NEW PERCEVAL VALVE 23MM AND A PATCH WERE IMPLANTED. 20 MONTHS LATER THE PATIENT DIED.