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

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)