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Licensed Unlicensed Requires Authentication Published by De Gruyter November 19, 2020

Cardiac implant and the risk of infective endocarditis in pregnancy

Sara Kim, Jennifer Pollard, Diana Garretto and Kimberly Herrera

Abstract

Objectives

Infective endoplastitis/endocarditis (IE) due to a cardiac implant is an extremely rare event during pregnancy. Management and prognosis is not well known in this population.

Case presentation

A 29-year-old woman, gravida 1 para 0, at 19 3/7 weeks gestation with an Amplatzer septal occluder presented to the hospital with fever. A transesophageal echocardiogram demonstrated cardiac vegetations. She subsequently underwent cardiopulmonary bypass surgery with fetal monitoring to remove the device and eventually went on to deliver a full-term infant.

Conclusions

IE should be on the differential in patients with cardiac device. Multidisciplinary efforts enable prompt initiation of treatment after weighing the risks and benefits to both mother and fetus. Lastly, the fetal status can be utilized to assess for hemodynamic status of the mother.


Corresponding author: Sara Kim, MD, Department of Obstetrics and Gynecology, Stony Brook University, Hospital 101 Nicolls Road, Stony Brook, NY 11794, USA, Phone: 6319210671, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Research involving human subjects complied with all relevant national regulations, institutional policies and is in accordance with the tenets of the Helsinki Declaration (as revised in 2013), and has been approved by the authors’ Institutional Review Board or equivalent committee.

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Received: 2020-03-18
Accepted: 2020-10-20
Published Online: 2020-11-19

© 2020 Walter de Gruyter GmbH, Berlin/Boston