ED identification of cardiac septal abscess using conduction block on ECG.
A case of cardiac septal abscess in a patient with a porcine bioprosthetic aortic valve who gradually developed a complete atrioventricular block on successive electrocardiograms (ECG) is reported. Emergency physicians should consider endocarditis with septal abscess in a patient with a prosthetic heart valve who presents with fever and a new conduction defect on ECG.
Daniell
J E
JE
Department of Emergency Medicine, Loma Linda University, CA 92354, USA.
Nelson
B S
BS
Ferry
D
D
D000038:Abscess / Q000150:complications*; D001021:Aortic Valve; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004635:Emergency Medicine; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis*; D006327:Heart Block / Q000150:complications / Q000175:diagnosis*; D006346:Heart Septum; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged