Bicuspid aortic valve endocarditis complicated by perivalvular abscess

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Author(s)

    • Hara Tomoya
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Akaike Masashi
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Sata Masataka
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Soeki Takeshi
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Niki Toshiyuki
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Kusunose Kenya
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Yamaguchi Koji
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Taketani Yoshio
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Iwase Takashi
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Yamada Hirotsugu
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
    • Wakatsuki Tetsuzo
    • Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School

Abstract

A 37-year-old man presenting with fever and chest pain was admitted to our hospital. Electrocardiogram showed sinus tachycardia and complete left bundle branch block. Transthoracic echocardiogram showed infective endocarditis in the bicuspid aortic valve, complicated by multiple hyperechoic vegetations and severe aortic regurgitation. Blood cultures were negative and intravenous empiric antibiotic therapy was begun. However, fever lasted for 7 days and follow-up echocardiography revealed a newly emerged perivalvular abscess. The patient eventually underwent an urgent aortic root replacement that confirmed the echocardiographic findings. Our case report emphasizes that all patients with suspected aortic valve endocarditis should undergo early and follow-up echocardiographic studies. J. Med. Invest. 59: 261-265, August, 2012

Journal

  • The Journal of Medical Investigation

    The Journal of Medical Investigation 59(3.4), 261-265, 2012

    The University of Tokushima Faculty of Medicine

Codes

  • NII Article ID (NAID)
    130004822674
  • NII NACSIS-CAT ID (NCID)
    AA11166929
  • Text Lang
    ENG
  • Article Type
    journal article
  • ISSN
    1343-1420
  • Data Source
    IR  J-STAGE 
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