Prosthetic Aortic Valve Vegetation: A Percutaneous Mechanical Aspiration Approach.

Justin Ortiz, Eric D Saunders, Joshua M Baker, Constantino S Pena, Brian J Schiro, Raul E Herrera, Nish H Patel

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Justin OrtizNova Southeastern University, Dr Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, Florida, USA.

Eric D SaundersMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA.

Joshua M BakerMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA.

Constantino S PenaMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA; Department of Cardiovascular Science, Florida International University Herbert Wertheim College of Medicine, Miami, Florida, USA.

Brian J SchiroMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA; Department of Cardiovascular Science, Florida International University Herbert Wertheim College of Medicine, Miami, Florida, USA.

Raul E HerreraMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA.

Nish H PatelMiami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, Florida, USA. Electronic address: Nish.Patel@baptisthealth.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous mechanical aspiration has been well described for the removal of vegetations involving valves of the right side of the heart. However, only limited cases describe its use for the aortic valve. CASE SUMMARY: An 89-year-old man presented with methicillin-sensitive Staphylococcus aureus-positive infective endocarditis involving a bioprosthetic aortic valve and was determined to be high risk for surgery, He therefore underwent percutaneous mechanical aspiration to remove a vegetation. DISCUSSION: Infective endocarditis is a life-threatening condition for which high-risk surgical candidates are at increased risk of related morbidity and mortality. This case highlights the potential important role of percutaneous mechanical aspiration in debulking vegetations in nonsurgical candidates. This case also discusses the use of cerebral protection to minimize the risk of procedure-related cerebral embolism. TAKE-HOME MESSAGES: Percutaneous mechanical aspiration offers a feasible treatment strategy for high-risk patients with aortic valve endocarditis in whom surgery may be precluded. However, additional studies are needed.

Indexed as

aortic valveinfective endocarditispercutaneous mechanical aspirationvegetation

Identifiers

PMID42345487

DOI10.1016/j.jaccas.2026.108593

PMCPMC13332676

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