Unusual Cardiac Complications of Staphylococcus aureus Endocarditis

Kunavarapu, Chandra; Olkovsky, Yefin; Lafferty, James; Homayuni, Ali R.; Mohan, Sowjanya; McGinn, Joseph T.

doi:10.1016/j.echo.2007.06.016

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…S. aureus is an organism commonly responsible for acute bacterial infective endocarditis. Patients many times develop an acute fulminant infection resulting in multiple complications, even in the face of adequate therapy 1 . Involvement of aortic annulus with abscess or pseudoaneurysm is not uncommon in aortic valve endocarditis, particularly in the presence of a prosthetic valve.…”

Section: Case Presentationmentioning

confidence: 99%

“…Patients many times develop an acute fulminant infection resulting in multiple ACQUIRED AORTOVENTRICULAR TUNNEL complications, even in the face of adequate therapy. 1 Involvement of aortic annulus with abscess or pseudoaneurysm is not uncommon in aortic valve endocarditis, particularly in the presence of a prosthetic valve. Communication of the cavity with the ventricular outflow tract and the pulsatility of the cavity during cardiac cycle are features differentiating pseudoaneurysms from ring abscesses.…”

Section: Case Presentationmentioning

confidence: 99%

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Acquired AortoVentricular Tunnel: A Rare Complication of Infective Endocarditis

2008

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A 26-year-old man presented to emergency department with fever associated with night sweating and weight loss since 2 months prior to admission. He was an intravenous heroin user admitted for infective endocarditis of aortic valve 1 year ago. Transthoracic echocardiography followed by the transesophageal study showed bileaflet aortic prosthesis with normal transvalvular gradient and severe paravalvular aortic insufficiency. A pseudoaneurysm of intervalvular fibrosa connecting left ventricular outflow tract (LVOT) to noncoronary sinus of valsalva was detected.

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Section: Case Presentationmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Acquired AortoVentricular Tunnel: A Rare Complication of Infective Endocarditis

2008

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“…Re-entry of the fistulous tract into the left atrium prevented catastrophic tamponade and led to the development of a localised pulsatile pseudoaneurysm. Multimodality imaging with TEE [2] and cardiac computed tomography [3] can help define complications of endocarditis and vigilant imaging should always be carried out in complex cases especially associated with staphylococcus aureus infection.…”

Section: Discussionmentioning

confidence: 99%

Acute pericarditis as presenting symptom of staphylococcal endocarditis: Mitral valve involvement with fistulous tract from LV to LA and subsequent pseudoaneurysm development

McWilliams¹,

Saraf²,

Dickinson³

2013

WJCD

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Acute pericarditis is an unusual presentation of bacterial endocarditis [1]. It is most commonly associated with staphylococcal aureus infection and more likely to occur in young males in association with the risk factors of alcohol or substance abuse or diabetes. Tamponade is a common presenting feature and the aortic valve is the most commonly involved valve. This condition carries a very high mortality whether treated with antibiotics alone or in combination with surgery.

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“…2 The pseudoaneurysm commonly occurs in patients with a prosthetic aortic valve with or without valvular infective endocarditis. [3][4][5] There was also a report of a case secondary to chest trauma. 6 In our case, the patient was seen for followup 4 weeks after ablation of atrial fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa in a Patient After Radio Frequency Catheter Ablation of Atrial Fibrillation

Han

et al. 2009

Journal of Ultrasound in Medicine

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Unusual Cardiac Complications of Staphylococcus aureus Endocarditis

Cited by 11 publications

References 7 publications

Acquired AortoVentricular Tunnel: A Rare Complication of Infective Endocarditis

Acquired AortoVentricular Tunnel: A Rare Complication of Infective Endocarditis

Acute pericarditis as presenting symptom of staphylococcal endocarditis: Mitral valve involvement with fistulous tract from LV to LA and subsequent pseudoaneurysm development

Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa in a Patient After Radio Frequency Catheter Ablation of Atrial Fibrillation

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