Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report
BackgroundThe aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However,...
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1036476/full |
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| author | Guoliang Yang Xiaoyue Lai Chunshui Liang Weijie Fan Wanlei Fu Zheng Liu Hongmei Xia |
| author_facet | Guoliang Yang Xiaoyue Lai Chunshui Liang Weijie Fan Wanlei Fu Zheng Liu Hongmei Xia |
| author_sort | Guoliang Yang |
| collection | DOAJ |
| description | BackgroundThe aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However, the diverticulum of another part of the aorta has rarely been reported.Case summaryWe report a case of a 24-year-old male with a history of oral ulcer presented with recurrent hyperpyrexia and chest pain. Echocardiography and computed tomography showed the anomalous origin of the coronary arteries, aortic valve vegetations, and a bulge at the aortic root. The patient then received a Bentall procedure. The aorta and aortic valves were replaced by a valved conduit. The bulge with a normal arterial wall at the aortic root was considered to be a diverticulum. The infective endocarditis was verified as a secondary oral-derived streptococcal infection. The patient was discharged 15 days after surgery. Post-operative echocardiography had no positive findings.ConclusionOur case report highlights the role of multimodal cardiovascular imaging for the diagnostic workup of rare disorders, such as the presence of a diverticulum in the aortic root in a patient with endocarditis and anomalous origin of the right coronary artery. |
| first_indexed | 2024-04-10T05:56:27Z |
| format | Article |
| id | doaj.art-b2634740d8b44faf8fa66bdd131db06b |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-10T05:56:27Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-b2634740d8b44faf8fa66bdd131db06b2023-03-03T15:00:58ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-03-011010.3389/fcvm.2023.10364761036476Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case reportGuoliang Yang0Xiaoyue Lai1Chunshui Liang2Weijie Fan3Wanlei Fu4Zheng Liu5Hongmei Xia6Department of Ultrasound, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Ultrasound, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Cardiac Surgery, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Radiology, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Pathology, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Ultrasound, Xinqiao Hospital, Army Medical University, Chongqing, ChinaDepartment of Ultrasound, Xinqiao Hospital, Army Medical University, Chongqing, ChinaBackgroundThe aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However, the diverticulum of another part of the aorta has rarely been reported.Case summaryWe report a case of a 24-year-old male with a history of oral ulcer presented with recurrent hyperpyrexia and chest pain. Echocardiography and computed tomography showed the anomalous origin of the coronary arteries, aortic valve vegetations, and a bulge at the aortic root. The patient then received a Bentall procedure. The aorta and aortic valves were replaced by a valved conduit. The bulge with a normal arterial wall at the aortic root was considered to be a diverticulum. The infective endocarditis was verified as a secondary oral-derived streptococcal infection. The patient was discharged 15 days after surgery. Post-operative echocardiography had no positive findings.ConclusionOur case report highlights the role of multimodal cardiovascular imaging for the diagnostic workup of rare disorders, such as the presence of a diverticulum in the aortic root in a patient with endocarditis and anomalous origin of the right coronary artery.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1036476/fullaortic diverticuluminfective endocarditisechocardiographycomputed tomographyanomalous origin of the coronary artery |
| spellingShingle | Guoliang Yang Xiaoyue Lai Chunshui Liang Weijie Fan Wanlei Fu Zheng Liu Hongmei Xia Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report Frontiers in Cardiovascular Medicine aortic diverticulum infective endocarditis echocardiography computed tomography anomalous origin of the coronary artery |
| title | Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report |
| title_full | Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report |
| title_fullStr | Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report |
| title_full_unstemmed | Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report |
| title_short | Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report |
| title_sort | infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge a case report |
| topic | aortic diverticulum infective endocarditis echocardiography computed tomography anomalous origin of the coronary artery |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1036476/full |
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