Open Access

CASE REPORT

A Rare Case of Infective Mediastinitis after Melody Valve Implantation

by Veronica Lorenz¹, Karlien Carbonez², Geoffroy de Beco¹, Alain Poncelet^1,*

1 Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium
2 Department of Pediatric Cardiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium

* Corresponding Author: Alain Poncelet. Email:

Congenital Heart Disease 2022, 17(2), 187-192. https://doi.org/10.32604/chd.2022.018350

Received 18 July 2021; Accepted 11 September 2021; Issue published 26 January 2022

Abstract

Pulmonary valve implant is frequently necessary in children and adults with congenital heart disease. Infective endocarditis represents a rare but life-threatening complication after transcatheter pulmonary valve implantation. There are various treatments for native or prosthetic valve endocarditis. Surgical intervention, combined with intravenous antibiotic treatment, is of paramount importance, in case of concomitant mediastinal infection, in order to ensure the radical debridement of all infected tissue, avoiding any recurrent endocarditis. In this report, we describe a rare case of mediastinitis, associated with an infected endocarditis, occurring 8 months after Melody (Medtronic^®, Minneapolis, USA) valve implant, successfully treated with the implantation of a homograft to reconstruct the right ventricular outflow tract.

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