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Unusual location of aortic root abscess as a complication of bicuspid aortic valve infective endocarditis by a rare organism.
- Source :
-
BMJ case reports [BMJ Case Rep] 2024 Nov 07; Vol. 17 (11). Date of Electronic Publication: 2024 Nov 07. - Publication Year :
- 2024
-
Abstract
- A man in his 50s with diabetes, hypertension and history of multiple percutaneous coronary interventions presented with 3 weeks of fever and worsening shortness of breath. There was clinical suspicion of infective endocarditis with raised infective parameters. Transthoracic echocardiogram showed abnormally thickened, bicuspid aortic valve with suspicion of paravalvular aortic root abscess. Transoesophageal echocardiogram identified large vegetation on aortic valve and non-homogeneous area around the aortic root towards the right ventricular outflow tract, which was further confirmed as paravalvular aortic root abscess on cardiac CT. Blood cultures revealed a rare organism 'Burkholderia cepacia'. The patient responded well to intravenous antibiotics and surgical treatment with debridement of aortic root abscess, patch repair of aortic root and aortic valve replacement with a mechanical valve.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Male
Middle Aged
Anti-Bacterial Agents therapeutic use
Heart Valve Diseases surgery
Heart Valve Diseases complications
Heart Valve Diseases microbiology
Heart Valve Prosthesis Implantation
Debridement
Tomography, X-Ray Computed
Abscess microbiology
Abscess surgery
Bicuspid Aortic Valve Disease surgery
Bicuspid Aortic Valve Disease complications
Aortic Valve surgery
Aortic Valve abnormalities
Aortic Valve diagnostic imaging
Endocarditis, Bacterial complications
Endocarditis, Bacterial diagnosis
Endocarditis, Bacterial microbiology
Echocardiography, Transesophageal
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 17
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 39515832
- Full Text :
- https://doi.org/10.1136/bcr-2024-262955