Surgical Treatment for Prosthetic Aortic Valve Endocarditis Complicated with Cardiac Implantable Electronic Devices Infection

Abstract

A 54-year-old woman who had been diagnosed with cardiac implantable electronic devices（CIEDs）infection had been receiving conservative management but then suffered septic shock. She was diagnosed with prosthetic aortic valve endocarditis with aorto-right atrium fistula. She was referred to our hospital. Her pacemaker system was removed using an excimer laser sheath, the prosthetic valve was removed and replaced with a 25mm bioprosthetic valve, and the aorto-right atrium fistula was closed with a rifampicin-soaked bovine pericardial patch. Residural aorto-right atrium shunt was not detected after the operation, and her post operative course was uneventful without congestive heart failure or signs of infection.