Bicuspid aortic valve endocarditis complicated by perivalvular abscess

Hara, Tomoya; Soeki, Takeshi; Niki, Toshiyuki; Kusunose, Kenya; Yamaguchi, Koji; Taketani, Yuji; Igarashi, Takashi; Yamada, Hirotsugu; Wakatsuki, Tetsuzo; Akiyama, Masashi; Sata, Masataka

doi:10.2152/jmi.59.261

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Previous case reports have shown the presence of aortic root abscess with conduction disturbances [8]. In one of the reports, aortic root abscess was associated with new-onset complete right bundle branch block (RBBB) with prolonged PR interval, which eventually changed into a left bundle branch block (LBBB) morphology with features of atrioventricular (AV) dissociation followed by alternating bundle branch block on the second day [9]. While in the other case report patient had an aortic root abscess with sinus tachycardia and LBBB in EKG.…”

Section: Discussionmentioning

confidence: 99%

“…Kahveci et al reported peri annular complications in 64% of BAV IE patients [12]. Additionally, BAV is an independent risk factor for abscess formation in aortic valve infective endocarditis (IE), increasing the likelihood of surgical intervention [9]. According to the American College of Cardiology/American Heart Association Task Force Practice Guidelines, early surgical intervention is indicated in IE in the presence of valve dysfunction causing heart failure, IE caused by resistant organisms including S. aureus, presence of heart block or abscess, or a presence of persistent infection.…”

Section: Discussionmentioning

confidence: 99%

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The Value of Screening for Bicuspid Aortic Valve in First Degree Family Members

Kandah¹,

Kalantary²,

Manasrah³

et al. 2021

Cureus

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A 54-year-old male with a history of hypertension, diabetes, and sleep apnea presented with a two-week history of dyspnea. The patient was hypoxic with bilateral leg edema. Initial workup showed elevated troponin at 0.15 ng/mL, brain natriuretic peptide of 720 pg/mL, and hyponatremia. Chest X-ray revealed lungs infiltrates with possible pneumonia. An electrocardiogram showed sinus tachycardia and ST depression in septal leads. He received diuretics and antibiotics for fluid overload and pneumonia. Blood culture showed methicillin-sensitive staphylococcus aureus (MSSA). Transthoracic echocardiogram (TTE) revealed a left ventricle ejection fraction (LVEF) of 55-60%, a bicuspid aortic valve (BAV) with mild aortic stenosis and calcification, and an ascending aortic aneurysm of 4.2 cm, though no vegetations. A transesophageal echocardiogram (TEE) demonstrated the BAV, 1.4 cm mobile vegetation, an abscess on the aortic annulus, severe aortic regurgitation, and 4.6 cm ascending aortic aneurysm. He underwent aortic valve replacement, ascending aortoplasty, and coronary artery bypass grafting. He was discharged with eight weeks of antibiotics after a good recovery with resolution of fever, dyspnea, and bacteremia. His son was diagnosed with BAV earlier. Consequently, by screening echocardiogram and education, our patient could have avoided complications of severe infective endocarditis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Value of Screening for Bicuspid Aortic Valve in First Degree Family Members

Kandah¹,

Kalantary²,

Manasrah³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

Aortic valve reconstruction using autologous pericardium (Ozaki procedure) for active infective endocarditis: a case report

Okada

Inoue

Haida

2017

Gen Thorac Cardiovasc Surg

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Approximately one-third of patients with infective endocarditis require surgical treatment, but the ideal procedure that prevents infection ensures long durability and maintains quality of life remains unclear. A 21-year-old man who was diagnosed with aortic active infective endocarditis was referred to our hospital for surgical treatment. Echocardiography showed bicuspid aortic valve, severe aortic regurgitation, a large vegetation, and a paravalvular abscess. We planned to perform elective surgical treatment after antibiotic therapy; however, progression to heart failure required urgent operation. Aortic valve reconstruction (AVr) using autologous pericardium was performed. Perioperative and postoperative courses were uneventful. No recurrence of infection or adverse events were observed 4 years postoperatively. Considering prosthetic valve infection and redo operation, AVr may be considered among young patients.

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Bicuspid aortic valve endocarditis complicated by perivalvular abscess

Cited by 2 publications

References 28 publications

The Value of Screening for Bicuspid Aortic Valve in First Degree Family Members

The Value of Screening for Bicuspid Aortic Valve in First Degree Family Members

Aortic valve reconstruction using autologous pericardium (Ozaki procedure) for active infective endocarditis: a case report

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