Aortic valve endocarditis with root abscess causing superior vena cava obstruction: a case report.

ABSTRACT:

Background

To our knowledge, we report the first case of endocarditis with root abscess causing compressive superior vena cava (SVC) obstruction.

Case summary

An 84-year-old gentleman with previous tissue aortic valve replacement presented with fevers and systemic upset. Blood cultures grew Streptococcus anginosus and transoesophageal echocardiogram identified prosthetic valve vegetations with an associated root abscess. Antibiotics were commenced and referral made for surgical consideration. Several days into treatment the patient developed clinical signs of SVC obstruction and computed tomography demonstrated an enlarging root abscess with SVC compression. The patient was discussed with local cardiothoracic centres, but surgery was not an option primarily due to abs

SUBMITTER: Scullion MMF 

PROVIDER: S-EPMC6939814 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature