{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:43:49Z","timestamp":1755225829409,"version":"3.43.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T00:00:00Z","timestamp":1753488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fredrik Lundberg and Sch\u00f6rling Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This retrospective observational single-centre analysis included 31 patients who underwent transcatheter aortic valve implantation (TAVI) between 2016 and 2024 and subsequent open-heart surgery between 2019 and 2024. They were admitted from infectious disease departments or cardiology clinics and accounted for 0.7% of heart operations performed in 2024. The incidence of definite endocarditis was 0.5% (17\/3226) of all TAVI procedures performed during this period. Of the 17 patients, 9 (53%) with definite endocarditis underwent aortic valve replacement, with 1 early death (11%) from bowel ischaemia and liver failure. The 2-year postoperative survival for definite endocarditis was 76%. Open-heart surgery was contraindicated in all 8 patients with definite endocarditis due to severe comorbidities and frailty. These patients died within 2 years of the infection or due to heart failure. Furthermore, 10 patients classified as having endocarditis after TAVI were medically treated and had a 2-year survival rate of 72%. The survival rate was 87% at 2 years after open-heart surgery for non-infectious indications performed up to 5 years after TAVI in 22 patients. In conclusion, heart surgery can be curative in selected patients with definite endocarditis after TAVI and lifesaving after rare TAVI complications.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf173","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T11:44:07Z","timestamp":1753357447000},"source":"Crossref","is-referenced-by-count":0,"title":["Endocarditis and other indications for open-heart surgery after a transcatheter aortic valve implant"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4052-7574","authenticated-orcid":false,"given":"Torbj\u00f6rn","family":"Ivert","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Karolinska University Hospital and Molecular Medicine and Surgery, Karolinska Institutet , 17177 Stockholm,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aninda","family":"Omar","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Karolinska Institutet , 17177 Stockholm,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"R\u00fcck","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Karolinska Institutet , 17177 Stockholm,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5352-5132","authenticated-orcid":false,"given":"Magnus","family":"Dal\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Karolinska University Hospital and Molecular Medicine and Surgery, Karolinska Institutet , 17177 Stockholm,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,26]]},"reference":[{"key":"2025081315270486800_ivaf173-B1","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med"},{"key":"2025081315270486800_ivaf173-B2","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jacc.2023.04.049","article-title":"Outcomes of SAPIEN 3 transcatheter aortic valve replacement compared with surgical valve replacement in intermediate-risk patients","volume":"82","author":"Madhavan","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"2025081315270486800_ivaf173-B3","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.jcin.2014.09.013","article-title":"Prosthetic valve endocarditis 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implantation: a nationwide study","volume":"40","author":"Bjursten","year":"2019","journal-title":"Eur Heart J"},{"key":"2025081315270486800_ivaf173-B7","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1086\/313753","article-title":"Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis","volume":"30","author":"Li","year":"2000","journal-title":"Clin Infect Dis"},{"key":"2025081315270486800_ivaf173-B8","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1007\/s00392-022-01998-0","article-title":"Very early infective endocarditis after transcatheter aortic valve replacement","volume":"111","author":"Panagides","year":"2022","journal-title":"Clin Res Cardiol"},{"key":"2025081315270486800_ivaf173-B9","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1001\/jama.2016.12347","article-title":"Association between transcatheter aortic valve replacement and subsequent infective endocarditis and in-hospital 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