A Huge Endocarditis Pseudoaneurysm in Bicuspid Aortic Valve

Autor: Silvia Vitale, Filippo M. Sarullo, Cinzia Nugara, Emerico Ballo, Laura Vassallo, Silvia Sarullo, Giuseppe Vitale, Sebastiano Castrovinci, Giuseppa Caccamo
Rok vydání: 2019
Předmět:
Zdroj: Journal of Integrative Cardiology Open Access. :1-2
DOI: 10.31487/j.jicoa.2019.04.04
Popis: Infective endocarditis is a disease associated with high mortality and severe complications. We report a case of a young shepherd affected by valvular endocarditis on a bicuspid aortic valve, complicated by a pseudoaneurysm with periaortic abscess. Thanks to the use of multimodality diagnostic imaging (particular echocardiogram, Magnetic Risonance Imaging, Computed tomography-scan and coronary angiography), it was possible to make a correct diagnosis, in order to plan a tailored surgical strategy and to reduce the perioperative risks. The operation consisted of myocardial revascularization, closure of the annular pseudoaneurysm and aortic valve replacement with mechanical prosthesis. The patient maintained normal inflammation indices and was discharged at home in the absence of relevant clinical events. Infective endocarditis is a deadly disease. Multimodality imaging is crucial to clarify anatomical distorsions that can occur in complicated cases.
Databáze: OpenAIRE