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Low-grade fever and reduced resilience following TAVI (Part I)

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • An 86-year-old woman initially presented with severe, symptomatic aortic valve stenosis.
    • Aortic valve repair was indicated.
    • Based on patient’s general clinical situation, age and comorbidities (history of myocardial infarction, hypertension, type 2 diabetes mellitus), minimally invasive aortic valve repair (transfemoral transcatheter aortic valve implantation, TAVI) was performed.
    • Two months later, the patient developed nonspecific symptoms including reduced physical resilience and intermittent subfebrile episodes.
    • CT angiography of the chest and abdomen was performed to search for a possible infection focus (Figure 1)
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