{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:47Z","timestamp":1753876247488,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Among all congenital heart diseases, ventricular septal defect (VSD) is the most common. Transcatheter device closure of VSD is an increasingly practiced intervention in recent times because patients can avoid the burden of surgery and associated morbidity. Infective endocarditis (IE) associated with this intervention is a very rare occurrence. Patients are considered to be at high risk of developing IE in the initial 6 months after septal defect closure device implantation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case Summary<\/jats:title>\n                  <jats:p>We report a case of late IE in a 7 years old female. She had a transcatheter device closure of a perimembranous VSD at the age of 3, using a Konar MFO device. The patient presented with altered consciousness, convulsions, moderate fever and tachycardia. MRI of brain revealed basilar and posterior inferior cerebellar artery thrombosis leading to central pontine and right cerebellar infarct. Transoesophageal echocardiography displayed mobile thread like vegetation attached to the left knob of the MFO device just below the aortic valve. Blood culture revealed Achromobacter xylosoxidans growth. A diagnosis of IE was reached.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Transcatheter device closure of VSD has been shown to be safe and effective in various studies. IE associated with this intervention is extremely rare with just a handful of cases reported. As far as we are aware, this is the first reported case of IE associated with VSD device due to A. xylosoxidans.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf288","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T23:02:39Z","timestamp":1751065359000},"source":"Crossref","is-referenced-by-count":0,"title":["Late <i>Achromobacter<\/i> endocarditis after device closure of ventricular septal defect: a case report"],"prefix":"10.1093","volume":"9","author":[{"given":"Tahera","family":"Nazrin","sequence":"first","affiliation":[{"name":"Department of Cardiology and Pediatric Cardiology, Evercare Hospital Dhaka , Plot 81, Block-E, Bashundhara R\/A, Dhaka 1229 ,","place":["Bangladesh"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9822-5530","authenticated-orcid":false,"given":"Sadeed Araf","family":"Reza","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Pediatric Cardiology, Evercare Hospital Dhaka , Plot 81, Block-E, Bashundhara R\/A, Dhaka 1229 ,","place":["Bangladesh"]},{"name":"Sir Salimullah Medical College Mitford Hospital , Mitford Road, Dhaka-1100 ,","place":["Bangladesh"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurun","family":"Naher","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Pediatric Cardiology, Evercare Hospital Dhaka , Plot 81, Block-E, Bashundhara R\/A, Dhaka 1229 ,","place":["Bangladesh"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzana","family":"Nahid","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Pediatric Cardiology, Evercare Hospital Dhaka , Plot 81, Block-E, Bashundhara R\/A, Dhaka 1229 ,","place":["Bangladesh"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A Q M","family":"Reza","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Pediatric Cardiology, Evercare Hospital Dhaka , Plot 81, Block-E, Bashundhara R\/A, Dhaka 1229 ,","place":["Bangladesh"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"2025070202013498900_ytaf288-B1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1161\/01.CIR.78.2.361","article-title":"Transcatheter closure of ventricular septal defects","volume":"78","author":"Lock","year":"1988","journal-title":"Circulation"},{"key":"2025070202013498900_ytaf288-B2","doi-asserted-by":"crossref","first-page":"276","DOI":"10.5152\/AnatolJCardiol.2021.464","article-title":"Experiences of two centers in percutaneous ventricular septal defect closure using konar multifunctional occluder","volume":"26","author":"Kamal\u0131","year":"2022","journal-title":"Anatol J Cardiol"},{"key":"2025070202013498900_ytaf288-B3","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1016\/j.jacc.2011.08.025","article-title":"Birth prevalence of 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meningitis and late acute bacterial endocarditis","volume":"26","author":"Bia\u0142kowski","year":"2016","journal-title":"Cardiol Young"},{"key":"2025070202013498900_ytaf288-B10","doi-asserted-by":"crossref","first-page":"227","DOI":"10.14503\/THIJ-14-4949","article-title":"Endocarditis and incomplete endothelialization 12 years after amplatzer septal occluder deployment","volume":"43","author":"Nguyen","year":"2016","journal-title":"Tex Heart Inst J"},{"key":"2025070202013498900_ytaf288-B11","doi-asserted-by":"crossref","first-page":"e326","DOI":"10.1161\/CIRCULATIONAHA.107.754069","article-title":"Incomplete endothelialization and late development of acute bacterial endocarditis after implantation of an amplatzer septal occluder device","volume":"117","author":"Slesnick","year":"2008","journal-title":"Circulation"},{"key":"2025070202013498900_ytaf288-B12","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.jccase.2020.11.013","article-title":"The first described case of late infective endocarditis after implantation of figulla flex \u2161","volume":"23","author":"Tamura","year":"2021","journal-title":"ASD occluder. J Cardiol Cases"},{"key":"2025070202013498900_ytaf288-B13","doi-asserted-by":"crossref","first-page":"3948","DOI":"10.1093\/eurheartj\/ehad193","article-title":"2023 ESC guidelines for the management of endocarditis: developed by the task force on the management of endocarditis of the European Society of Cardiology (ESC) endorsed by the European association for cardio-thoracic surgery (EACTS) and the European association of nuclear medicine (EANM)","volume":"44","author":"Delgado","year":"2023","journal-title":"Eur Heart J"},{"key":"2025070202013498900_ytaf288-B14","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1155\/2011\/527412","article-title":"Achromobacter species endocarditis: a case report and literature review","volume":"22","author":"Derber","year":"2011","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"2025070202013498900_ytaf288-B15","doi-asserted-by":"crossref","first-page":"e01025","DOI":"10.1128\/AAC.01025-20","article-title":"Achromobacter infections and treatment options","volume":"64","author":"Isler","year":"2020","journal-title":"Antimicrob Agents Chemother"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytaf288\/63530543\/ytaf288.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/7\/ytaf288\/63530543\/ytaf288.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/7\/ytaf288\/63530543\/ytaf288.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T06:01:46Z","timestamp":1751436106000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytaf288\/8169709"}},"subtitle":[],"editor":[{"given":"F Aaysha","family":"Cader","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Lorenzo Caratti","family":"di Lansacco","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Ines","family":"Hribernik","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Hideharu","family":"Oka","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Milan","family":"Djukic","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Satish","family":"Koirala","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Marco Alejandro Sol\u00f3rzano","family":"V\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Yuki","family":"Shibagaki","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Akazawa","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Emilia Blanco","family":"Ponce","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Christopher","family":"Herron","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Aritra","family":"Mukherji","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Dzhem","family":"Farandzha","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Cuomo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Maria Chiara","family":"Gatto","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Giorgia","family":"Benzoni","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,6,20]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaf288","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,6,20]]},"article-number":"ytaf288"}}