期刊
PROCEEDINGS OF SINGAPORE HEALTHCARE
卷 31, 期 -, 页码 -出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/20101058211040861
关键词
Bioprosthetic valve; infective endocarditis; paraprosthetic abscess; aortic valve; case report
In this case, a 49-year-old male patient presented with prosthetic valve endocarditis requiring radical debridement and major reconstruction surgery due to high risk for mortality and post-operative complications.
We present a case of prosthetic valve endocarditis (PVE) in a 49-year-old gentleman with a history of bioprosthetic valve replacement following infective endocarditis of the aortic valve. He was pyrexial on arrival and electrocardiogram showed complete heart block. Transthoracic echocardiography and transoesophageal echocardiography revealed evidence of multiple echogenic, hypodensities within the paraprosthetic regions of the aortic bioprosthetic valve, suggestive of paravalvular abscesses, and infiltration into the right ventricle via the septal leaflet of the tricuspid valve. Early PVE is often nosocomial and ultimate management include radical debridement and major reconstruction with an expectedly high risk for mortality and post-operative complications.
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