Monaldi Archives for Chest Disease (Sep 2024)

A case of a huge aortic pseudo-aneurysm following aortic bioprosthetic endocarditis: the key role of 3D echocardiography

  • Chiara Sordelli,
  • Raffaele Verde,
  • Nunzia Fele,
  • Sara Hana Weisz,
  • Laura Severino,
  • Alessandro Perrella,
  • Angela Guarino,
  • Emilio Di Lorenzo,
  • Sergio Severino

DOI
https://doi.org/10.4081/monaldi.2024.3077

Abstract

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Infective endocarditis (IE) is a life-threatening condition with high morbidity and mortality rates, making early diagnosis and intervention crucial. This report details the case of a 47-year-old male with a history of mechanical prosthetic aortic valve replacement, presenting with pyrexia and diagnosed with aortic bioprosthetic endocarditis leading to a massive aortic pseudoaneurysm. This shows that 3D transesophageal echocardiography is much more useful than regular 2D imaging for finding problems with IE, which makes surgical planning and intervention more precise.

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