{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:32Z","timestamp":1753877252797,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016646","name":"HCA Healthcare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present the unusual case of a 37-year-old female who was found to have bacterial endocarditis related to a 30\u00a0mm Gore Cardioform Septal Occluder that was placed following multiple paradoxical strokes, due to a patent PFO. Cardiothoracic Surgery was consulted and patient underwent surgical explantation with pericardial patch repair. Patient was discharged on postoperative (POD) 10 with 6\u00a0weeks of IV Cefazolin. Endocarditis following PFO closure-device implantations remains an exceedingly rare complication. In those that do develop endocarditis, the majority occur in early postop period. The first 3\u00a0months following implantation is where the subject is at greatest risk of endocarditis, owing to incomplete endothelialization of the implantable device. Late-onset endocarditis (&amp;gt;6\u00a0months postop) has also been documented in the literature. Thus, while current literature recommends prophylactic antibiotic administration prior to invasive surgery during the first 6\u00a0months following device implantation, prolonging this period may be indicated in select high-risk populations.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf414","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T22:40:56Z","timestamp":1749854456000},"source":"Crossref","is-referenced-by-count":0,"title":["Early-to-mid onset bacterial endocarditis following implantation of Gore Cardioform Septal Occluder device"],"prefix":"10.1093","volume":"2025","author":[{"given":"Mahmoud K","family":"Abd-El-Hafez","sequence":"first","affiliation":[{"name":"Menorah Medical Center Department of General Surgery Residency, HCA Midwest Healthcare System , 11317 West 75th Street, Shawnee, Kansas 66214 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed A","family":"Romeya","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, HCA Midwest Healthcare System , 10500 Quivira Road, Overland Park, Kansas 66215 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayasheel O","family":"Eshcol","sequence":"additional","affiliation":[{"name":"Department of Cardiology, HCA Midwest Healthcare System , 10500 Quivira Road, Overland Park, Kansas 66215 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"2025061318405322200_ref1","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1016\/j.amjcard.2007.12.040","article-title":"Comparison of three patent foramen ovale closure devices in a randomized trial (Amplatzer versus CardioSEAL-STARflex versus Helex occluder)","volume":"101","author":"Taaffe","year":"2008","journal-title":"Am J Cardiol"},{"key":"2025061318405322200_ref2","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1097\/sla.0000000000003030","article-title":"Impact of reduced preincision antibiotic infusion time on surgical site infection rates: a retrospective cohort study","volume":"271","author":"Malhotra","year":"2020","journal-title":"Ann Surg"},{"key":"2025061318405322200_ref3","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1002\/ccd.26784","article-title":"Infective endocarditis after device closure of atrial septal defects: case report and review of the literature","volume":"89","author":"Amedro","year":"2017","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025061318405322200_ref4","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/j.jccase.2017.08.009","article-title":"A remarkable case of late-onset biatrial bacterial endocarditis of the gore HELEX septal occluder","volume":"16","author":"Thiagaraj","year":"2017","journal-title":"J Cardiol Cases"},{"key":"2025061318405322200_ref5","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1161\/CIRCULATIONAHA.115.016339","article-title":"Late bacterial endocarditis and abscess formation after implantation of an Amplatzer septal occluder device","volume":"131","author":"Kim","year":"2015","journal-title":"Circulation."}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf414\/63488293\/rjaf414.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf414\/63488293\/rjaf414.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T22:40:57Z","timestamp":1749854457000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf414\/8162404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf414","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf414"}}