Percutaneous Patent Foramen Ovale Closure Device Endocarditis

Abstract

Image

Echocardiographic imaging of patent foramen ovale occlusion device endocarditis.

Case Summary

A 58-year-old man with prior cryptogenic stroke presented with fever and left hip pain. Blood and aspiration cultures were positive for methicillin-resistant Staphylococcus aureus. He underwent transesophageal echocardiography, which showed the device in the mid intra-atrial septum with left and right atrial side vegetations.

Discussion

Endocarditis of occluding devices is well known, but rare phenomenon occurring within weeks of implantation, suggesting a temporal relationship between incomplete endothelialization and microbial seeding. Endocarditis prophylaxis has been arbitrary recommended for the first 6 months after device implantation.