Author: Christian Loewe, Vienna, Austria
Body Region: Cardiovascular
1. Patient presentation
- An 86-year-old female patient, initially presenting with severe, symptomatic aortic valve stenosis, underwent transfemoral transcatheter aortic valve implantation (TAVI).
- Two months later, she developed nonspecific symptoms (such as reduced physical resilience and intermittent subfebrile episodes) and was diagnosed with endocarditis on the basis of CT angiography of the chest and abdomen.
- The patient was treated with antibiotics and low-molecular heparin, but three days later she presented with acute severe abdominal pain.
- Urgent CT angiography was performed.