An 87-year old female patient suffering from severe symptomatic aortic stenosis (mean gradient 55 mmHg, aortic valve area 0.85 cm2), underwent Transcatheter aortic valve implantation (TAVI). 6 months later she presented with ischemic stroke with convulsive seizures and intermittent fever. Transoesophageal echocardiogram (TOE)- showed large mobile vegetation measuring 1.3 × 0.6 cm attached to transcatheter prosthetic valve struts and an abnormality of the aortic root resembling a mass extending from the aortic root to the left atrium. Blood tests revealed thrombocytopenia and elevated inflammatory markers. Blood cultures were positive for Corynebacterium CT angiography was done (image provided).
The patient was diagnosed with a complication of TAVI. Source- Moufarrej R, Aljaberi N. a case report. Eur Heart J - Case Rep. 2018 Dec 1;2(4):1–6.
