Korean Circ J.  2011 Aug;41(8):482-485. 10.4070/kcj.2011.41.8.482.

A Case of Staphylococcal Tricuspid Valve Endocarditis With Para-Aortic Abscess in a Patient With Bicuspid Aortic Valve

• Kim WS
• Kang SH
• Lee SA
• Ryu MS
• Park SH

• KMID: 1826358
• DOI: http://doi.org/10.4070/kcj.2011.41.8.482

Abstract

Paravalvular abscess is a serious complication of infective endocarditis. The aortic valve and its adjacent ring are more susceptible to abscess formation and paravalvular extension than the mitral valve. A 15-years old patient with bicuspid aortic valve presented with staphylococcal tricuspid valve endocarditis complicated by para-aortic abscess that ruptured into the aortic sinus. We report the clinical, laboratory and echocardiographic features and treatment of this patient and conduct a literature review on this subject.

Keyword

Endocarditis; Abscess

MeSH Terms

Abscess
Aortic Valve
Bicuspid
Endocarditis
Heart Valve Diseases
Humans
Mitral Valve
Sinus of Valsalva
Tricuspid Valve
Aortic Valve
Heart Valve Diseases

Figure

• 

  Fig. 1 Short-axis view of the aortic valve on transthoracic echocardiography. A: a mobile vegetation (arrow) is noted at the base of septal leaflet of tricuspid valve. B: a large abscess cavity (arrow) communicating with the aortic sinus is seen in the para-aortic area.

• 

  Fig. 2 Transesophageal echocardiography showed a bicuspid aortic valve with a large para-aortic abscess (1.6×2.1 cm) with direct communication to aortic sinus. A: the right side commissure of the bicuspid aortic valve is ruptured. B: color flow into the abscess cavity is visualized well during diastole.

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