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Fatal rupture of aortic root abscess following native aortic valve enterococcal endocarditis

Razii, Nima and Izzat, Lena M. 2014. Fatal rupture of aortic root abscess following native aortic valve enterococcal endocarditis. Heart & Lung: The Journal of Acute and Critical Care 43 (4) , pp. 344-346. 10.1016/j.hrtlng.2014.04.013

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We describe the case of a 66-year-old male, who was referred to our cardiology department with suspected endocarditis, following an enterococcal bacteremia. Transesophageal echocardiography showed vegetations on a native trileaflet aortic valve. Having been prescribed intravenous amoxicillin and gentamicin, to which he initially responded, the patient became increasingly breathless during the third week of treatment. Although lung fields were clear and there were no changes to a pre-existing heart murmur on physical examination, transthoracic echocardiography and Doppler color flow imaging revealed that an aortic root abscess had ruptured and formed a left-to-right shunt. The patient was transferred to a specialist cardiac center, but was unsuitable for major surgery and died a week later. We discuss this rare and devastating complication of infective endocarditis.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Elsevier
ISSN: 0147-9563
Date of Acceptance: 21 April 2014
Last Modified: 12 Jun 2019 02:49

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