title: Perforated periaortic valve abscess presents as acute pericarditis and patient died in transesophageal echocardiographic study.
abstract: Rupture of infective endocarditis-associated perivalvular abscess of left ventricular outlet leading to death is a rare complication of transesophageal echocardiography. We report a case of impending rupture periaortic valve abscess of left ventricular outlet that was initially diagnosed as acute pericarditis at the emergency department in which the patient suddenly collapsed during the ongoing procedure of transesophageal echocardiography. Emergency surgical intervention was performed, but in vain. Destructive aortic valve and rupture of the periaortic valve abscess were found.
authors.affiliation: Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Tsung-Neng
authors.initials: TN
authors.lastname: Tsai
authors.forename: Bing-Hsiean
authors.initials: BH
authors.lastname: Tzeng
authors.forename: Gou-Jieng
authors.initials: GJ
authors.lastname: Hong
authors.forename: Kai-Min
authors.initials: KM
authors.lastname: Chu
authors.forename: Shu-Meng
authors.initials: SM
authors.lastname: Cheng
authors.forename: Shih-Ping
authors.initials: SP
authors.lastname: Yang
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000209:etiology*; D000208:Acute Disease; D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000209:etiology*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000000981:diagnostic imaging / Q000209:etiology