{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:36:11Z","timestamp":1753886171323,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":297,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Introduction:<\/jats:bold> Broviac catheter is a type of central venous catheter (CVC) used for long\u2010term parenteral nutrition in specific patients, e.g., diagnosed with intestinal failure as short bowel syndrome (SBS). The way of the catheter insertion is conceived to minimalize the risk of infections. However, CVC\u2010related blood stream infections (CVC\u2010BSIs), including infective endocarditis (IE), remain most important complications associated with Broviac catheter. <jats:italic>Staphylococcus epidermidis<\/jats:italic> stands out as a prevalent pathogen. The increasing number of CVCs results in an increased incidence of healthcare\u2010associated IE. Complete parenteral treatment is an independent risk that increases the likelihood of IE. Treatment of IE is mainly based on antibiotic therapy, but in certain cases, surgical treatment is needed.<\/jats:p><jats:p><jats:bold>Presentation of Case:<\/jats:bold> A 71\u2010year\u2010old female with SBS who had been receiving total parenteral nutrition through the Broviac catheter for several months was admitted in a serious condition with significant weakness, increasing shortness of breath, deteriorating cough, fever, low blood pressure, and heart palpitations. Echocardiography revealed severe aortic valve IE with a large, longitudinal, highly mobile vegetation (up to 40\u2009mm) and massive aortic regurgitation with pulmonary edema. Fast pathogen detection in the patients\u2019 blood (<jats:italic>S. epidermidis<\/jats:italic>) was obtained using PCR\u2010based multiplex test. Due to life\u2010threatening conditions, emergency surgery with aortic valve replacement was performed. Consistent rehabilitation resulted in good condition achievement. Follow\u2010up echocardiography showed normal function of the aortic valve bioprosthesis.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The use of CVC, including Broviac catheter, is associated with an increased risk of infections, including IE. Treatment\u2010resistant severe HF complicating IE requires emergency surgery.<\/jats:p>","DOI":"10.1155\/2024\/1093820","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T10:50:49Z","timestamp":1729767049000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Broviac Catheter\u2013Related Aortic Valve Infective Endocarditis Complicated With Massive Aortic Regurgitation Requiring Emergency Surgery: A Case 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