An adolescent with Behçet’s aortitis mimicking infective endocarditis: a case report
| Autor: | Mimiko Tabata, Tohru Nojiri, Atsushi Kurata, Kaoru Hattori |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Aortic valve
medicine.medical_specialty Aortitis business.industry Bentall procedure medicine.disease Surgery Pseudoaneurysm Behçet’s disease medicine.anatomical_structure Aortic valve replacement Infective endocarditis Case report medicine cardiovascular system Ventricular outflow tract AcademicSubjects/MED00200 Modified Bentall procedure Cardiology and Cardiovascular Medicine business Aortic valve regurgitation |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background Aortic valve involvement is rare in patients with Behçet’ s disease (BD); however, recurrent prosthetic valve detachment after valve surgery has frequently been reported. We report a rare case of Behçet’s aortitis involving the aortic valve, mimicking active infective endocarditis (IE) with perivalvular abscess. Case summary A 16-year-old boy, with an unknown case of BD, presented with pyrexia of unknown origin, severe aortic valve regurgitation, vegetation, and perivalvular abscess in the aortic valve. All cultures tested negative for microorganisms. As we suspected IE, aortic valve replacement was performed. After the initial surgery, recurrent prosthetic valve detachment and pseudoaneurysm formation occurred, which resulted in the diagnosis of BD. The patient underwent a modified Bentall procedure, in which the valve conduit was proximally sutured to the left ventricular outflow tract instead of the aortic annulus. Immunosuppressive therapy was initiated on the 10th postoperative day. His condition became stable, and additional surgery was not required. Discussion The echocardiographic findings of Behçet’s aortitis involving the aortic valve resemble those of aortic valve IE. Modified Bentall procedure, combined with effective immunosuppressive therapy, may be useful in preventing prosthetic valve detachment. |
| Databáze: | OpenAIRE |
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