Incidental Finding of Subannular Perfused Aortic Root Abscess

An 83-year-old female presented with aortic valve stenosis requiring surgery, which was diagnosed with a transthoracic echocardiography three years ago. However, the patient declined the surgery at that time due to personal reasons. Three years later she presented again with signs of dizziness and w...

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Main Authors: Luise Vöhringer, Malte Niklas Bongers, Florian Helms, Aron Frederik Popov
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/1/19
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author Luise Vöhringer
Malte Niklas Bongers
Florian Helms
Aron Frederik Popov
author_facet Luise Vöhringer
Malte Niklas Bongers
Florian Helms
Aron Frederik Popov
author_sort Luise Vöhringer
collection DOAJ
description An 83-year-old female presented with aortic valve stenosis requiring surgery, which was diagnosed with a transthoracic echocardiography three years ago. However, the patient declined the surgery at that time due to personal reasons. Three years later she presented again with signs of dizziness and weakness and progression of the aortic valve stenosis. Cardiac catheterization and a computed tomography scan were performed before the planned surgery. Surprisingly, a huge subannular perfused abscess hole around the aortic root companying a pericardial effusion was revealed. The patient underwent an urgent aortic root replacement with a tissue valve and an aortic ascending replacement without any complications. Intraoperative inspection confirmed an active aortic root and valve endocarditis.
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spelling doaj.art-3f64788ce0b64e549ca1eaab85029db02024-01-10T14:53:38ZengMDPI AGDiagnostics2075-44182023-12-011411910.3390/diagnostics14010019Incidental Finding of Subannular Perfused Aortic Root AbscessLuise Vöhringer0Malte Niklas Bongers1Florian Helms2Aron Frederik Popov3Department of Cardiothoracic and Vascular Surgery, Eberhard Karls University, 72074 Tuebingen, GermanyDepartment of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, 72074 Tuebingen, GermanyDivision for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, GermanyDepartment of Cardiothoracic and Vascular Surgery, Eberhard Karls University, 72074 Tuebingen, GermanyAn 83-year-old female presented with aortic valve stenosis requiring surgery, which was diagnosed with a transthoracic echocardiography three years ago. However, the patient declined the surgery at that time due to personal reasons. Three years later she presented again with signs of dizziness and weakness and progression of the aortic valve stenosis. Cardiac catheterization and a computed tomography scan were performed before the planned surgery. Surprisingly, a huge subannular perfused abscess hole around the aortic root companying a pericardial effusion was revealed. The patient underwent an urgent aortic root replacement with a tissue valve and an aortic ascending replacement without any complications. Intraoperative inspection confirmed an active aortic root and valve endocarditis.https://www.mdpi.com/2075-4418/14/1/19cardiac surgeryaortic surgerycomputed tomographyendocarditisaortic root abscess
spellingShingle Luise Vöhringer
Malte Niklas Bongers
Florian Helms
Aron Frederik Popov
Incidental Finding of Subannular Perfused Aortic Root Abscess
Diagnostics
cardiac surgery
aortic surgery
computed tomography
endocarditis
aortic root abscess
title Incidental Finding of Subannular Perfused Aortic Root Abscess
title_full Incidental Finding of Subannular Perfused Aortic Root Abscess
title_fullStr Incidental Finding of Subannular Perfused Aortic Root Abscess
title_full_unstemmed Incidental Finding of Subannular Perfused Aortic Root Abscess
title_short Incidental Finding of Subannular Perfused Aortic Root Abscess
title_sort incidental finding of subannular perfused aortic root abscess
topic cardiac surgery
aortic surgery
computed tomography
endocarditis
aortic root abscess
url https://www.mdpi.com/2075-4418/14/1/19
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AT aronfrederikpopov incidentalfindingofsubannularperfusedaorticrootabscess