Cinzia Nugara,Emerico Ballo,Filippo Maria Sarullo,Giuseppa Caccamo,Giuseppe  Vitale,Laura Vassallo,Sebastiano Castrovinci,Silvia Sarullo,Silvia Vitale,
A Huge Endocarditis Pseudoaneurysm in Bicuspid Aortic Valve
Journal of Integrative Cardiology Open Access
2019
2674-2489
http://dx.doi.org/10.31487/j.JICOA.2019.04.04
https://www.sciencerepository.org/a-huge-endocarditis-pseudoaneurysm-in-bicuspid-aortic-valve_JICOA-2019-4-104 
Abstract: 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.Keywords: Bicuspid aortic valve, echocardiography, endocarditis, valve disease