تقرير
Multimodality Imaging of Progressive Aortic Valve Endocarditis: From Endophthalmitis to Aorto-Atrial Fistula.
العنوان: | Multimodality Imaging of Progressive Aortic Valve Endocarditis: From Endophthalmitis to Aorto-Atrial Fistula. |
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المؤلفون: | Achanta A; Department of Medicine, Massachusetts General Hospital, Boston, USA., Kherallah Y; Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, USA., Hartsough E; Department of Pathology, Massachusetts General Hospital, Boston, USA., Matthiesen MI; Department of Medicine, Massachusetts General Hospital, Boston, USA., Tower-Rader A; Department of Cardiology, Corrigan Minehan Heart Center, Massachusetts General Hospital, Boston, USA., Zern EK; Department of Cardiology, Corrigan Minehan Heart Center, Massachusetts General Hospital, Boston, USA. |
المصدر: | Cureus [Cureus] 2022 Nov 08; Vol. 14 (11), pp. e31239. Date of Electronic Publication: 2022 Nov 08 (Print Publication: 2022). |
نوع المنشور: | Case Reports |
اللغة: | English |
بيانات الدورية: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Palo Alto, CA : Cureus, Inc. |
مستخلص: | Our case highlights an atypical presentation of aortic valve endocarditis after initial presentation with endophthalmitis. This case demonstrates the rapidity of evolution of aortic valve endocarditis through sequential, multimodal imaging, and features the importance of a multidisciplinary approach required for the management of complicated aortic valve endocarditis. A male in his mid-thirties was admitted to the hospital with left endophthalmitis and diabetic ketoacidosis. He was found to have aortic valve endocarditis and severe aortic insufficiency, which progressed to aortic root pseudoaneurysm and subsequently to aorto-atrial fistula in less than 72 hours, as demonstrated by consecutive multimodality imaging studies. After extensive surgical repair, post-operative recovery, and rehabilitation, he was discharged home with a good functional outcome. Sequential and multimodal imaging can be beneficial in diagnosing paravalvular infection early in its evolution, which is crucial for decision-making regarding medical and surgical treatment strategies. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Achanta et al.) |
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فهرسة مساهمة: | Keywords: acute endophthalmitis; aortic endocarditis; aorto-atrial fistula; coronary computed tomography angiogram (ccta); echocardiography; heart failure; valvular heart disease |
تواريخ الأحداث: | Date Created: 20221212 Latest Revision: 20221221 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC9731174 |
DOI: | 10.7759/cureus.31239 |
PMID: | 36505161 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2168-8184 |
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DOI: | 10.7759/cureus.31239 |