Follow the Lead: The Challenges of Cardiogenic Shock in Device-Related Infective Endocarditis

JACC Case Rep. 2021 Aug 4;3(9):1163-1169. doi: 10.1016/j.jaccas.2021.05.012.


We present the challenging case of a young man with congenital heart disease who survived severe device-related infective endocarditis and new pulmonary hypertension. He required prolonged mechanical circulatory support and had multiple significant complications. His case posed a management dilemma that was successfully resolved by effective multidisciplinary, tertiary center care. (Level of Difficulty: Beginner.).

Keywords: CT, computed tomography; DRE, device-related endocarditis; ECMO; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit; MCS, mechanical circulatory support; MDT, multidisciplinary team; PET, positron emission tomography; PH, pulmonary hypertension; PPM, permanent pacemaker; RV, right ventricular; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; congenital; infective endocarditis; mechanical circulatory support; mycotic aneurysm; pulmonary embolism; pulmonary hypertension.

Publication types

  • Case Reports