ID 106030
Author
Hara, Tomoya Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
Soeki, Takeshi Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Niki, Toshiyuki Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
Kusunose, Kenya Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yamaguchi, Koji Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Taketani, Yoshio Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Iwase, Takashi Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Yamada, Hirotsugu Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Wakatsuki, Tetsuzo Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Akaike, Masashi Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sata, Masataka Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
bicuspid aortic valve (BAV)
infectious endocarditis (IE)
perivalvular abscess (PVA)
echocardiography
Content Type
Journal Article
Description
A 37-year-old man presenting with fever and chest pain was admitted to our hospital. Electrocardiogram showed sinus tachycardia and complete left bundle branch block. Transthoracic echocardiogram showed infective endocarditis in the bicuspid aortic valve, complicated by multiple hyperechoic vegetations and severe aortic regurgitation. Blood cultures were negative and intravenous empiric antibiotic therapy was begun. However, fever lasted for 7 days and follow-up echocardiography revealed a newly emerged perivalvular abscess. The patient eventually underwent an urgent aortic root replacement that confirmed the echocardiographic findings. Our case report emphasizes that all patients with suspected aortic valve endocarditis should undergo early and followup echocardiographic studies.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Publisher
The University of Tokushima Faculty of Medicine
Volume
59
Issue
3-4
Start Page
261
End Page
265
Sort Key
261
Published Date
2012-08
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital