Follow the Lead: The Challenges of Cardiogenic Shock in Device-Related Infective Endocarditis

Wasyla Ibrahim; Andreas Hoschtitzky; Louit Thakuria; Wei Li; Thomas Semple; Jonathan Clague; Sarah Ghonim; Samuel Seitler; Michael A Gatzoulis; Nada Al-Sakini

doi:10.1016/j.jaccas.2021.05.012

Follow the Lead: The Challenges of Cardiogenic Shock in Device-Related Infective Endocarditis

JACC Case Rep. 2021 Aug 4;3(9):1163-1169. doi: 10.1016/j.jaccas.2021.05.012.

Authors

Wasyla Ibrahim¹, Andreas Hoschtitzky^{1

2

3}, Louit Thakuria³, Wei Li^{1

2}, Thomas Semple³, Jonathan Clague³, Sarah Ghonim¹, Samuel Seitler¹, Michael A Gatzoulis^{1

2}, Nada Al-Sakini¹

Affiliations

¹ Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.
² National Heart and Lung Institute, Imperial College, London, United Kingdom.
³ Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.

Abstract

We present the challenging case of a young man with congenital heart disease who survived severe device-related infective endocarditis and new pulmonary hypertension. He required prolonged mechanical circulatory support and had multiple significant complications. His case posed a management dilemma that was successfully resolved by effective multidisciplinary, tertiary center care. (Level of Difficulty: Beginner.).

Keywords: CT, computed tomography; DRE, device-related endocarditis; ECMO; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit; MCS, mechanical circulatory support; MDT, multidisciplinary team; PET, positron emission tomography; PH, pulmonary hypertension; PPM, permanent pacemaker; RV, right ventricular; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; congenital; infective endocarditis; mechanical circulatory support; mycotic aneurysm; pulmonary embolism; pulmonary hypertension.

Publication types

Case Reports