Bicuspid aortic valve endocarditis complicated by perivalvular abscess

• Hara Tomoya

  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

• 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

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

Keywords

• bicuspid aortic valve (BAV)
• infectious endocarditis (IE)
• perivalvular abscess (PVA)
• echocardiography

Details

• CRID: 1390001204242477184
• NII Article ID: 130004822674
• NII Book ID: AA11166929
• DOI: 10.2152/jmi.59.261
• ISSN: 13496867
• ISSN: 13431420
• PubMed: 23037197
• Web Site: http://repo.lib.tokushima-u.ac.jp/106030
• Web Site: https://www.jstage.jst.go.jp/article/jmi/59/3.4/59_261/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013248281
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed