Acute posteromedial papillary muscle rupture secondary to aortic valve endocarditis: a case report.

ABSTRACT:

Background

Acute papillary muscle (PM) rupture due to infective involvement has been recognized as a complication of infective endocarditis. However, there is very limited literature describing the rupture of the posteromedial PM in primary aortic valve endocarditis without aortic root abscess. This report highlights the aetiology of the PM rupture in the setting of primary aortic valve endocarditis and the importance of a multidisciplinary approach.

Case summary

An 81-year-old man without any heart failure symptoms presented with fever and loss of vision in his left eye. Initial echocardiography revealed moderate aortic valve regurgitation due to a perforated right coronary cusp without aortic root abscess, and his blood cultures were positive for Group G Streptococci

SUBMITTER: Marumoto A 

PROVIDER: S-EPMC8922695 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature