Common coronary ostium mimicking an aortic abscess in a case of bacterial endocarditis.
A patient with aortic valve endocarditis presented with severe aortic regurgitation, large vegetation, and a periannular cavity at transesophageal echocardiography consistent with an abscess. At surgery a common coronary ostium was found, which was responsible for the abnormal periannular image. Such congenital abnormality, although unusual, is an echocardiographic pitfall in the case of endocarditis.
Vuille
C
C
Center and Division of Cardiology, Geneva University Hospital, Switzerland.
Trigo-Trindade
P
P
Lerch
R
R
Kalangos
A
A
D000038:Abscess / Q000000981:diagnostic imaging*; D001021:Aortic Valve / Q000000981:diagnostic imaging*; D001022:Aortic Valve Insufficiency / Q000150:complications; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis*; D003951:Diagnostic Errors; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging*; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000000981:diagnostic imaging