Left ventricle outflow tract vegetation, embolism and troponin rise: an infective endocarditis case report

Iacovelli, Fortunato; Scicchitano, Pietro; Zanna, Del; Marangelli, Vito; Favale, Stefano

doi:10.1007/s11739-012-0761-5

Cited by 9 publications

(4 citation statements)

References 3 publications

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“…In the majority of cases, IE in hemodialysis patients affects the mitral and aortic valves [1][2][3]. Like our case, IE on the left ventricu- lar outflow tract is rare and only few cases have been reported in the literature [11,12]. [2,13].…”

Section: Discussionmentioning

confidence: 52%

Infective Endocarditis with Unusual Location of Vegetation in a Patient with Hemodialysis Followed by Recurrent Catheter-Related Blood Stream Infection

Yong

Bang

Park

et al. 2015

Soonchunhyang Med Sci

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The incidence of infective endocarditis (IE) in hemodialysis patients is higher than the general population. Hemodialysis patients with IE have a poorer prognosis than other patients with IE. The most common sites of IE in hemodialysis patients are the mitral valve and aortic valve. A 47-year-old woman had suffered from recurrent catheter-related blood stream infection and she was strongly suspected of IE. Despite repeated transthoracic echocardiography and transesophageal echocardiography (TEE), IE was revealed several months later by TEE due to the unusual location of the vegetation. The vegetation was detected on the left ventricle outflow tract. She recovered well without any complication after mitral valve replacement surgery.

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Section: Discussionmentioning

confidence: 52%

Infective Endocarditis with Unusual Location of Vegetation in a Patient with Hemodialysis Followed by Recurrent Catheter-Related Blood Stream Infection

Yong

Bang

Park

et al. 2015

Soonchunhyang Med Sci

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“…Aortic valve infection commonly spreads into the periannular soft tissues to cause abscesses, pseudoaneurysms and fistulas with the incidence of these complications reported to be 30%-50% [2] . On rare occasions as in the presented case IE can localize its effects to the LVOT which is thought to be predisposed to by a longstanding aortic regurgitant jet causing damage of the endocardial surface [3] . IE of the LVOT is thought to have a particularly high likelihood of systemic embolisation which can lead to stroke and mycotic intracerebral abscess formation.…”

Section: Discumentioning

confidence: 68%

“…They showed a high sensitivity (96%) and specificity (97%) for detection of leaflet vegetations > 4mm and significantly improved accuracy of MDCT over TEE for detection and localization of perivalvular abscesses and pseudoaneyrms [2] . Gahide et al reported a sensitivity and specificity of 100% and 87.5% for MDCT identification of aortic root pseudoaneurysms [3] .…”

Section: Discumentioning

confidence: 99%

The role of multidetector computed tomography for detecting aortic root pseudoanerysms complicating infective endocarditis

Hoey

Rajoo

2014

IJDI

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Echocardiography is the mainstay imaging technique for detecting infective endocarditis vegetations but may struggle to detect and characterise complicating features. There is increasing interest in the use of multidetector computed tomography (MDCT) as an adjunct to echocardiography, especially where there is concern for abscess or pseudoaneurysm formation. We present the case of a 70-year-old male with bio-prosthetic aortic valve endocarditis complicated by a large infected left ventricular outflow tract pseudoaneurysm which was diagnosed using MDCT angiography. Radiologists and clinicians should be aware of the emerging role of MDCT in this setting in order to advise and direct an appropriate imaging strategy.

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“…Large aortic valve vegetations (>6 mm) prolapse into the left ventricular outflow tract and "kiss" the ventricular surface of the anterior mitral leaflet with the development of a vegetation[27] [28][29]. The left ventricular outflow tract endocarditis may represents the initial site of infection with a possibility to spread by contiguity to both left-sided valves, the mitral and aortic[30], causes the "mitral-kissing vegetation" with a higher prevalence of embolic events[31].3.4. ManagementEndocarditis normally presents with fever, murmur, tachypnea, tachycardia, hyperfibrinogenemia, anemia and leukocytosis[32] [33].…”

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confidence: 99%

Native Aortic Valve Endocarditis—A Case Report

Muthiah¹

2018

CRCM

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Introduction: To report a case of isolated "endocarditic" aortic regurgitation in a 17-year old female with infective vegetations on aortic valve. Case Report: A 17-year old female was admitted with features of heart failure and a febrile illness. Blood cultures were negative and ECG revealed normal. Echocardiography revealed a "kissing-type" of vegetation on the bicuspid aortic valve with severe aortic regurgitation and a dilated left ventricle with moderate dysfunction. Conclusion: The management of aortic insufficiency occurring in infective endocarditis may differ and the presence of intractable pulmonary edema or shock is a clear indication for prompt valve replacement. The traditional diagnostic criteria are insufficient to diagnose infective endocarditis and the modified Duke criteria provide high sensitivity and specificity over 80% for the diagnosis of native valve endocarditis with positive blood cultures.

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Left ventricle outflow tract vegetation, embolism and troponin rise: an infective endocarditis case report

Cited by 9 publications

References 3 publications

Infective Endocarditis with Unusual Location of Vegetation in a Patient with Hemodialysis Followed by Recurrent Catheter-Related Blood Stream Infection

Infective Endocarditis with Unusual Location of Vegetation in a Patient with Hemodialysis Followed by Recurrent Catheter-Related Blood Stream Infection

The role of multidetector computed tomography for detecting aortic root pseudoanerysms complicating infective endocarditis

Native Aortic Valve Endocarditis—A Case Report

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