Healed perivalvular abscess: Incidental finding on transthoracic echocardiography.
Ann Card Anaesth
;
2014 Apr; 17(2): 141-144
Article
Dans Anglais
| IMSEAR
| ID: sea-150314
ABSTRACT
A 36‑year‑old male patient presented with the complaints of palpitations and breathlessness. Preoperative transthoracic echocardiography (TTE) revealed a bicuspid aortic valve; severe aortic regurgitation with dilated left ventricle (LV) and mild LV systolic dysfunction (ejection fraction 50%). He was scheduled to undergo aortic valve replacement. History was not suggestive of infective endocarditis (IE). Preoperative TTE did not demonstrate any aortic perivalvular abscess. Intraoperative transesophageal echocardiography (TEE) examination using the mid‑esophageal (ME) long‑axis view, showed an abscess cavity affecting the aortic valve, which initially was assumed to be a dissection flap, but later confirmed to be an abscess cavity by color Doppler examination. The ME aortic valve short‑axis view showed two abscesses; one was at the junction of the non‑coronary and left coronary commissure and the other one above the right coronary cusp. Intraoperatively, these findings were confirmed by the surgeons. The case report demonstrates the superiority of TEE over TTE in diagnosing perivalvular abscesses.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Valve aortique
/
Humains
/
Mâle
/
Échocardiographie
/
Infections dues aux prothèses
/
Échocardiographie transoesophagienne
/
Adulte
/
Abcès
/
Endocardite bactérienne
/
Valvulopathies
Type d'étude:
Etude diagnostique
langue:
Anglais
Texte intégral:
Ann Card Anaesth
Année:
2014
Type:
Article
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