44 2033180199
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Current Research: Cardiology

Sign up for email alert when new content gets added: Sign up

Missed aortic valve endocarditis resulting in complete atrioventricular block and redo aortic valve replacement

Author(s): Amer Harky MRCS*, Miruna Popa, Megan Garner and Alex Shipolini

BACKGROUND: Infective endocarditis is a rare disease associated with high morbidity and mortality. As a result, early diagnosis, prompt antibiotic treatment with or without surgical intervention is crucial in the management of such a condition.

CASE REPORT: We report a case of missed infective endocarditis of the aortic valve. The patient underwent mechanical aortic valve replacement, with the native valve sent for histopathological analysis. On re-admission with syncope and shortness of breath he was noted to have complete heart block and severe aortic regurgitation and paravalvular leak.

DISCUSSION: On review of the histopathology, endocarditis was identified which had not been acted upon at the original operation. The patient underwent redo aortic valve replacement with insertion of a permanent pacemaker and treatment with appropriate antibiotics.

CONCLUSION: We highlight the importance of following up histopathological results as well as the need for multidisciplinary treatment of endocarditis with a combination of surgical and antibiotic therapy.

Full-Text | PDF


Indexed In
  • China National Knowledge Infrastructure (CNKI)
Current Research: Cardiology