A Huge Endocarditis Pseudoaneurysm in Bicuspid Aortic Valve

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Author Info

Cinzia Nugara Emerico Ballo Filippo Maria Sarullo Giuseppa Caccamo Giuseppe Vitale Laura Vassallo Sebastiano Castrovinci Silvia Sarullo Silvia Vitale

Corresponding Author

Giuseppe Vitale
Cardiovascular Rehabilitation Unit, Buccheri La Ferla, Fatebenefratelli Hospital, Palermo, Italy

A B S T R A C T

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.

Article Info

Article Type

Case Report

Publication history

Received: Tue 24, Sep 2019
Accepted: Tue 08, Oct 2019
Published: Fri 18, Oct 2019

Copyright

© 2023 Giuseppe Vitale. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2019.04.04