Delirium as late manifestation of infective endocarditis after transcatheter aortic valve implantation

Age Ageing. 2022 Nov 2;51(11):afac238. doi: 10.1093/ageing/afac238.

Abstract

More than one-third of the cases of infective endocarditis (IE) occur in older patients. The disease is often characterized by atypical symptoms. The incidence of neurological complications is high and represents a strong independent predictor of severe outcomes and mortality. IE is a rare but serious complication of transcatheter aortic valve implantation (TAVI). A persistent delirium as a unique manifestation of post-TAVI IE in an older patient is presented in this clinical case.

Keywords: delirium; endocarditis; older people; transcatheter aortic valve implantation (TAVI).

MeSH terms

  • Aged
  • Aortic Valve
  • Aortic Valve Stenosis* / surgery
  • Delirium* / complications
  • Delirium* / etiology
  • Endocarditis* / complications
  • Endocarditis* / etiology
  • Endocarditis, Bacterial* / diagnosis
  • Endocarditis, Bacterial* / etiology
  • Humans
  • Prosthesis-Related Infections* / epidemiology
  • Prosthesis-Related Infections* / etiology
  • Risk Factors
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Treatment Outcome