Diagnosis and management of left ventricular assist device valve-endocarditis: LVAD valve replacement.
case_report · Level V
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- Record sourced from PubMed, PMID 11081912.
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Abstract
A 57-year-old man who has been wearing a Novacor N100 left ventricular assist device (LVAD) for more than 3 years suffered from LVAD endocarditis. Only by immunoscintigraphic methods was it possible to localize the septic focus. After successful exchange of in- and outflow tract valves, the infection was eradicated. Microscopic investigation confirmed the scintigraphic findings: Gram-positive bacteria were found. The valves showed no gross degenerative lesions after more than 1,100 days of implantation. The patient is now doing well.
Medical subject headings
- Cardiomyopathy, Dilated
- Endocarditis, Bacterial
- Heart Failure
- Heart-Assist Devices
- Prosthesis-Related Infections
- Staphylococcal Infections