loading page

Infective endocarditis late after patent foramen ovale percutaneous closure in an addict patient
  • +3
  • Walter Vignaroli,
  • Angelo De Luca,
  • Fabio Capuano,
  • Francesca Boldini,
  • Euclide Tonelli,
  • Giovanni Melina
Walter Vignaroli
Sant'Andrea Hospital
Author Profile
Angelo De Luca
Sant'Andrea Hospital
Author Profile
Fabio Capuano
Sant'Andrea Hospital
Author Profile
Francesca Boldini
Sant'Andrea Hospital
Author Profile
Euclide Tonelli
Sant'Andrea Hospital
Author Profile
Giovanni Melina
Sant'Andrea Hospital
Author Profile

Abstract

We report an uncommon case of late infective endocarditis, in a patient with a history of intravenous drug abuse and HIV positivity, 9 years after a percutaneous closure of a patent foramen ovale. Despite a target and prolonged intravenous antibiotic therapy, he was then referred for surgical device and vegetation removal. Given the high risk associated with drug addiction lifestyle, especially in HIV positive cases, it is mandatory to observe this group of patients with lifelong follow-up and support. Furthermore, it may be considered a multidisciplinary-team approach to find the best option for these patients, also evaluating a surgical correction.