Fatal complication of infective endocarditis: Radiological diagnosis of aortomitral curtain pseudoaneurysm

Safiye Sanem Dereli Bulut 1 *
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1 Radiology Department, TC Health Sciences University, Umraniye Research and Training Hospital, Istanbul, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 5, Issue 59, pp. 51-53. https://doi.org/10.23950/1812-2892-JCMK-00803
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ABSTRACT

Infective endocarditis is the infection of the endocardium. The pathologic hallmarks of infective endocarditis are vegetations. They appear as irregular, mobile or fixed masses that usually attach to the endocardium on the low-pressure side of a valve, chordae tendinae or ascending aorta.
Duke criteria are clinically relevant for the diagnosis of infective endocarditis. In addition to clinical and laboratory findings with these criteria, the diagnosis can be made with high accuracy with imaging findings. Imaging also plays a decisive role in pre-operative evaluation, during heart valve operations and in the evaluation of often severe complications to the disease.
We present a 75-year-old male patient who was diagnosed with aortomitral curtain pseudoaneurysm due to infective endocarditis after clinical, laboratory and radiological evaluation in the light of literature review.
Keywords: aneurysm, false, endocarditis, magnetic resonance imaging

CITATION

Dereli Bulut SS. Fatal complication of infective endocarditis: Radiological diagnosis of aortomitral curtain pseudoaneurysm. J Clin Med Kaz. 2020;5(59):51-3. https://doi.org/10.23950/1812-2892-JCMK-00803

REFERENCES

  • Murillo H, Restrepo CS, Marmol-Velez JA, et al. Infectious Diseases of the Heart: Pathophysiology, Clinical and Imaging Overview. RadioGraphics. 2016; 36(4):963-83. https://doi.org/10.1148/rg.2016150225
  • Bruun NE,Habib G,Thuny F,Sogaard P; Cardiac imaging in infectious endocarditis. European Heart Journal. 2014; 35, 624-32 https://doi.org/10.1093/eurheartj/eht274
  • Entrikin DW, Gupta P, Kon ND, Carr JJ. Imaging of infective endocarditis with cardiac CT angiography. J Cardiovasc Comput Tomogr. 2012; 6(6):399-405. https://doi.org/10.1016/j.jcct.2012.10.001
  • Feuchtner GM, Stolzmann P, Dichtl W, et al. Multislice Computed Tomography in Infective Endocarditis. Comparison With Transesophageal Echocardiography and Intraoperative Findings. J Am Coll Cardiol. 2009; 53(5):436-44. https://doi.org/10.1016/j.jacc.2008.01.077
  • Dursun M, Yilmaz S, Yilmaz E, et al. The utility of cardiac MRI in diagnosis of infective endocarditis: Preliminary results. Diagnostic Interv Radiol. 2015; 21(1):28-33. https://doi.org/10.5152/dir.2014.14239
  • Ryu S, Kim HJ, Kim SM, Park S, Choe YH. Detection of perivalvular abscess with late Gadolinium-Enhanced MR Imaging in a patient with Infective Endocarditis. Investig Magn Reson Imaging. 2016; (3):75-79. https://doi.org/10.13104/imri.2016.20.1.75
  • Bricker AO, Avutu B, Mohammed TLH, Williamson EE,et al. Valsalva Sinus Aneurysms: Findings at CT and MR Imaging. RadioGraphics. 2010; 30:99-110. https://doi.org/10.1148/rg.301095719