Echocardiographic Features of an Evolving Periaortic Valvular Abscess in a Patient with Staphylococcus Epidermidis Prosthetic Valve Endocarditis.

Autor: Elkattawy S; Cardiology Department, St. Joseph's University Medical Center, Paterson, NJ, USA., Romero J; Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA., Romero AL; Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA., Bilali E; St. George's School of Medicine, Grenada., Turku D; St. George's School of Medicine, Grenada., Abid F; Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA., Shamoon R; Cardiology Department, St. Joseph's University Medical Center, Paterson, NJ, USA., Shamoon F; Cardiology Department, St. Joseph's University Medical Center, Paterson, NJ, USA.
Jazyk: angličtina
Zdroj: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2024 May 07; Vol. 14 (3), pp. 44-48. Date of Electronic Publication: 2024 May 07 (Print Publication: 2024).
DOI: 10.55729/2000-9666.1309
Abstrakt: Prosthetic valve endocarditis is a serious complication following valve replacement surgery, with the development of aortic root abscess being a catastrophic manifestation. We present a case of a 71-year-old female with a bioprosthetic aortic valve who presented with shortness of breath. Echocardiographic findings revealed vegetation on the prosthetic aortic valve with a periaortic, annular abscess. Given the patient's comorbidities and high surgical risk, conservative management with antibiotics was chosen. The patient responded well to antibiotic therapy and was discharged with long-term antibiotic treatment. Prosthetic valve endocarditis, particularly with periaortic abscess formation, is associated with significant morbidity and mortality. Early diagnosis and appropriate management are crucial for improving outcomes.
Competing Interests: Conflict of interest: There is no conflict of interest.
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Databáze: MEDLINE