Prosthetic aortic valve dehiscence: a “rocking” catastrophe

Nair, Anishkumar; Sajeev, C.G.; Muneer, Kader

doi:10.1007/s12574-016-0294-4

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2020

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“…These findings were corroborated during surgery. Of its many causes, when valve dehiscence is consequent to infective endocarditis, the mortality of this life-threatening situation is compounded [18]. The degree of aortic insufficiency severity can be predicted by the degree of valvular dehiscence.…”

Section: Discussionmentioning

confidence: 99%

Acne on the Valve: Two Intriguing Cases of Cutibacterium Acnes Endocarditis

Lodhi

Abbasi

Ahmed

et al. 2020

Cureus

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Cutibacterium acnes is a skin commensal which is most often regarded as a contaminant when detected on blood cultures. In rare instances, it may be the causative pathogen in severe systemic illnesses. Subacute endocarditis, especially of prosthetic valves and devices, is an important grave pathology caused by Cutibacterium acnes. Herein we report two cases of prosthetic valve endocarditis with varied presentations as valve dehiscence with a "rocking" prosthetic valve apparatus in one encounter and as a septic embolic stroke in the second encounter. Although a rare cause of endocarditis, it becomes an especially important entity in patients with prosthetic devices and should be high in the list of differentials.

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Section: Discussionmentioning

confidence: 99%