Complete Atrioventricular Block due to Infective Endocarditis of Bicuspid Aortic Valve
Journal of Cardiovascular Ultrasound
;
: 140-143, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-10715
ABSTRACT
A 38-year-old man visited our emergency department presenting with a 6-day persistent fever. The man had undergone an orthodontic procedure 7 days prior to the visit. He had a fever with a temperature of 38.2degrees C and a diastolic murmur (grade III) was detected at the left sternal border. Reddish-brown lines beneath the nails were present, and raised lesions which were red and painful were detected on the soles of the patient's feet. Laboratory findings showed an elevated inflammatory marker. Transthoracic and transesophageal echocardiograms, showed a bicuspid aortic valve, and moderate aortic regurgitation and vegetation were noted. Treatment with antibiotics was given, but 4 days later, a 12 lead electrocardiogram revealed complete atrioventricular (AV) block. Immediately, a temporary pacemaker was inserted, and the following day an aortic valve replacement was performed. Intraoperative findings revealed a fistula around the AV node. He has suffered no subsequent cardiac events during the follow-up.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Válvula Aórtica
/
Insuficiencia de la Válvula Aórtica
/
Nodo Atrioventricular
/
Diente Premolar
/
Estudios de Seguimiento
/
Soplos Cardíacos
/
Electrocardiografía
/
Urgencias Médicas
/
Endocarditis
/
Bloqueo Atrioventricular
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Journal of Cardiovascular Ultrasound
Año:
2011
Tipo del documento:
Artículo
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