Near-complete aortic mechanical valve dehiscence due to endocarditis reinfection.

Echocardiography

Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, OR, USA.

Published: June 2018

AI Article Synopsis

  • Prosthetic valve infective endocarditis (IE) is a serious complication that can occur after valve implantation, particularly affecting prosthetic aortic valves in 1%-6% of cases.* -
  • The text presents a striking echocardiographic case of prosthetic aortic valve IE that caused nearly complete valve dehiscence, marked by abnormal rocking motion of the valve.* -
  • Other factors contributing to prosthetic aortic valve dehiscence include inflammatory or autoimmune diseases, aneurysms in the ascending aorta, and calcification of the aortic root.*

Article Abstract

Prosthetic valve infective endocarditis (IE) is one of the most serious postimplantation complications. Prosthetic aortic valve IE constitutes 1%-6% of all prosthetic valve IE cases. We present a dramatic echocardiographic case of prosthetic aortic valve IE leading to near-complete valve dehiscence. Echocardiographic evidence of prosthetic aortic valve rocking motion is indicative of significant dehiscence. Aside from IE, other causes and risk factors for prosthetic aortic valve dehiscence include inflammatory and autoimmune vasculitides, concomitant ascending aorta aneurysm, and aortic root calcification.

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Source
http://dx.doi.org/10.1111/echo.14008DOI Listing

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