TY - JOUR
AR - JICOA-2019-4-104
TI - A Huge Endocarditis Pseudoaneurysm in Bicuspid Aortic Valve
AU - Cinzia, Nugara
AU - Emerico, Ballo
AU - Filippo Maria, Sarullo
AU - Giuseppa, Caccamo
AU - Giuseppe , Vitale
AU - Laura, Vassallo
AU - Sebastiano, Castrovinci
AU - Silvia, Sarullo
AU - Silvia, Vitale
JO - Journal of Integrative Cardiology Open Access
PY - 2019
DA - Fri 18, Oct 2019
SN - 2674-2489
DO - http://dx.doi.org/10.31487/j.JICOA.2019.04.04
UR - https://www.sciencerepository.org/a-huge-endocarditis-pseudoaneurysm-in-bicuspid-aortic-valve_JICOA-2019-4-104 
KW - Bicuspid aortic valve, echocardiography, endocarditis, valve disease
AB - 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.