Endocarditis due to Aortic Root Abscess in a Patient with Rupture of Sinus of Valsalva

Yıl 2018, Cilt: 08 Sayı: 02, 69 - 72, 20.06.2018

Arif Maqsood Ali Gule Rana Waseem Shazia Arif

https://doi.org/10.5799/jmid.434597

Öz

A
ruptured sinus of Valsalva aneurysm rarely accompanies the aortic valve
endocarditis. A 40-year old female presented with low threshold exertional
dyspnea and fever. Transthoracic and transesophageal echocardiography showed
ruptured sinus of Valsalva aneurysm in right ventricle with multiple vegetation
at the aortic root. Initial blood cultures were negative and an empirical
antibiotic therapy was started. Patient was operated for surgical repair of
sinus of Valsalva aneurysm. An aortic root abscess with rupture of sinus of
Valsalva was found at operation. However, postoperatively she developed sepsis
and multiorgan failure leading to her death. J Microbiol Infect Dis 2018; 8(2):69-72

Anahtar Kelimeler

Aortic aneurysm, aortic rupture, sinus of Valsalva, infective endocarditis, aortic abscess, trans-esophageal echocardiography

Kaynakça

• REFERENCES 1) Bricker AO, Avutu B, Mohammed TL, et al. Valsalva sinus aneurysms: findings at CT and MR imaging. Radiographics 2010; 30:99-110. 2) Weinreich M, Yu P-J, Trost B. Sinus of Valsalva aneurysms: review of the literature and an update on management. Clinical Cardiology 2015; 38 (3):185-189. 3) Chu SH, Hung CR, How SS, et al. Ruptured aneurysms of the sinus of Valsalva in oriental patients. J Thorac Cardiovasc Surg 1990; 99: 288-298. 4) Feldman DN, Roman MJ. Aneurysms of the sinuses of Valsalva. Cardiology 2006; 106:73-81. 5) Miranda D, Peter AA, Osorio J, Ferreira AC. Ruptured aneurysm of the noncoronary sinus of Valsalva. Tex Heart Inst J 2005; 32:586-588. 6) Vereckei A, Vándor L, Halász J, et al. Infective endocarditis resulting in rupture of sinus of Valsalva with a rupture site communicating with both the right atrium and right ventricle. J Am Soc Echocardiogr 2004; 17:995-997. 7) Encarnacion CO, Loranger AM, Bharat Kumar AG, et al. Bacterial Endocarditis caused by Lactobacillus acidophilus Leading to Rupture of Sinus of Valsalva Aneurysm. Tex Heart Inst J 2016; 43:161-164. 8) Ikeda A, Nakajima T, Konishi T, et al. Infective endocarditis of an aorto-right atrial fistula caused by asymptomatic rupture of a sinus of Valsalva aneurysm: a case report. Surg Case Rep 2016; 2:43 . 9) Kirali K, Sarikaya S, Ozen Y, et al. Surgery for Aortic Root Abscess: A 15-Year Experience. Tex Heart Institute J 2016; 43:20-28. doi:10.14503/THIJ-14-4747. 10) Patra KP, VanchiereJA, Bocchini JA Jr, et al. Endocarditus with rupture sinus of Valsalva aneurysm caused by non vaccine streptococcal pneumonia serotype 21. Tex Heart Institute J 2012; 39:277-280. 11) Vautrin E, Barone-Rochette G, Philippe J. Rupture of right sinus of Valsalva into right atrium: Ultrasound, magnetic resonance, angiography and surgical imaging. Arch Cardiovasc Dis 2008; 101:501-502. 12) Missault L, Callens B, Taeymans Y. Echocardiography of sinus of Valsalva aneurysm with rupture into the right atrium. Int J Cardiol 1995; 47: 269-272. 13) Kutiyal AS, Daga MK. Ruptured Sinus of Valsalva with Infective Endocarditis Complicated with Post-Infectious Acute Glomerulonephritis: A Rare Case Presentation. J Clin Diag Res 2016; 10 (10):OD14. 14) David TE, Regesta T, Gavra G, Armstrong S, Maganti MD. Surgical treatment of paravalvular abscess: long-term results. Eur J Cardiothorac Surg 2007; 31(1):43-48. 15) Kirali K, Guler M, Yakut N, et al. Combined medical and surgical treatment for active native valve infective endocarditis: ten-year experience. Turk Kardiyol Dern Ars 2001; 29 (9):543-548. 16) Anguera I, Miro JM, Cabell CH, et al. Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database. Am J Cardiol 2005; 96 (7):976-981. 17) Murdoch DR, Corey GR, Hoen B, et al. Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med 2009; 169 (5):463-473.