An aortic root abscess mimic identified by multi-disciplinary imaging review: a case report.

ABSTRACT:

Background

While echocardiography and cardiac positron emission tomography (PET) can aid in the diagnosis of prosthetic valve endocarditis (PVE), post-operative changes can lead to false-positive imaging findings. We report a case of a patient with an aortic valve prosthesis with remnant BioGlue deposits mimicking a para-valvular abscess on imaging in the setting of suspected PVE.

Case summary

A 67-year-old man presented with 2 days of fever, chills, and altered mentation. He had a history of two prior aortic root replacements-19 and 4 years prior to his presentation. He had blood cultures that were persistently positive for Pseudomonas aeruginosa. Initial transoesophageal echocardiogram (TEE) was notable for a thickening of the posterior aortic root thought to be con

SUBMITTER: Caceres J 

PROVIDER: S-EPMC11799943 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature