Multimodality imaging in the diagnosis of bioprosthetic aortic valve endocarditis: A case report.

ABSTRACT:

Introduction

Prosthetic valve infective endocarditis (PVE) is a diagnostic challenge even in the era of multimodality cardiovascular imaging.

Case presentation

The patient was a 67-year-old male with a three-year history of bioprosthetic aortic valve replacement who presented with persistent fever and negative blood cultures. The initial transthoracic echocardiography revealed a thickened aortic root. An abscess formation was visualized upon subsequent three-dimensional transesophageal echocardiography and positron emission tomography/computerized tomography (PET/CT). The patient underwent an urgent necrotic tissue debridement and a redo Bentall surgery. The real-time polymerase chain reaction of excised tissues was positive for Streptococcus.

Clinical discussion</

SUBMITTER: Bui STT 

PROVIDER: S-EPMC9422276 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature