Multiple pseudo-abscesses following aortic valve replacement.
Prosthetic aortic valve endocarditis is associated with valve ring abscess, conduction abnormalities and a grave prognosis. Aortic root abscess is a serious complication of infective endocarditis with high mortality. We report a case of a patient who had echocardiographic features resembling aortic root abscess along with severe aortic regurgitation, 6 weeks following aortic valve replacement. Valvular dehiscence led to perivalvular abscess like appearance. Infective endocarditis was exluded. He underwent a successful redo aortic valve surgery with slow recovery.
Attar
M N
MN
Department of Cardiology, Royal Preston Hospital, Sharoe Green Lane, Preston, Lancashire PR2 5HT, UK. nadattar@hotmail.com
Moore
R K G
RK
Khan
S
S
D000038:Abscess / Q000000981:diagnostic imaging; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000601:surgery; D003937:Diagnosis, Differential; D006331:Heart Diseases / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D014463:Ultrasonography