A Case of Left Atrial Myocardial Abscess Complicating Bicuspid Aortic Valve Infective Endocarditis
10.4326/jjcvs.35.49
- VernacularTitle:左房壁内に孤立性膿ようを認めた大動脈二尖弁に合併した感染性心内膜炎の１手術例
- Author:
Hitoshi Suzuki
;
Keizo Tanaka
;
Shinji Kanemitsu
;
Toshiya Tokui
;
Yoshihiko Kinoshita
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(1):49-52
- CountryJapan
- Language:Japanese
-
Abstract:
A 56-year-old man was admitted with fever of unknown origin and congestive heart failure. Blood cultures grew Streptococcus gordonii. An echocardiographic examination showed vegetation attached to the bicuspid aortic valve and severe aortic regurgitation. Despite the aggressive therapy, an emergency operation had to be performed because it was otherwise impossible to control heart failure. Vegetation was attached to the aortic valve leaflets. There was no noticeable lesion on the aortic annulus, but a myocardial abscess was noted in the left atrial wall. Aortic valve replacement was performed after the myocardial abscess was drained. It was assumed that the myocardial abscess was due to the septic state from Infective endocarditis because it was recognized at a distant zone from the active valvular infection.
