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Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature

Aortic cuspal aneurysm is a rare clinical entity and often occurs as a complication of infective endocarditis. We report a case of a 30-year-old male with no prior comorbid conditions who presented with fever, acute onset shortness of breath, and chest pain along with multiple episodes of syncope. E...

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Autores principales: Kunal, Shekhar, Shah, Bhushan, Bagarhatta, Rajeev, Verma, Hemlata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9081599/
https://www.ncbi.nlm.nih.gov/pubmed/35542826
http://dx.doi.org/10.1093/ehjcr/ytac183
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author Kunal, Shekhar
Shah, Bhushan
Bagarhatta, Rajeev
Verma, Hemlata
author_facet Kunal, Shekhar
Shah, Bhushan
Bagarhatta, Rajeev
Verma, Hemlata
author_sort Kunal, Shekhar
collection PubMed
description Aortic cuspal aneurysm is a rare clinical entity and often occurs as a complication of infective endocarditis. We report a case of a 30-year-old male with no prior comorbid conditions who presented with fever, acute onset shortness of breath, and chest pain along with multiple episodes of syncope. Electrocardiogram revealed complete heart block while two-dimensional echocardiogram was suggestive of perforated aortic cuspal aneurysm with aortic regurgitation. Blood cultures were positive for Streptococcus viridans. The patient was initiated on broad spectrum antibiotics, temporary pacemaker implantation, and subsequently underwent aortic valve replacement followed by permanent pacemaker implantation after 6 weeks. A diagnosis of perforated aortic cuspal aneurysm subsequent to infective endocarditis was made. This was based on clinical presentation, echocardiographic evaluation, blood cultures, and surgical as well as histopathological findings.
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spelling pubmed-90815992022-05-09 Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature Kunal, Shekhar Shah, Bhushan Bagarhatta, Rajeev Verma, Hemlata Eur Heart J Case Rep From The Case Gallery Aortic cuspal aneurysm is a rare clinical entity and often occurs as a complication of infective endocarditis. We report a case of a 30-year-old male with no prior comorbid conditions who presented with fever, acute onset shortness of breath, and chest pain along with multiple episodes of syncope. Electrocardiogram revealed complete heart block while two-dimensional echocardiogram was suggestive of perforated aortic cuspal aneurysm with aortic regurgitation. Blood cultures were positive for Streptococcus viridans. The patient was initiated on broad spectrum antibiotics, temporary pacemaker implantation, and subsequently underwent aortic valve replacement followed by permanent pacemaker implantation after 6 weeks. A diagnosis of perforated aortic cuspal aneurysm subsequent to infective endocarditis was made. This was based on clinical presentation, echocardiographic evaluation, blood cultures, and surgical as well as histopathological findings. Oxford University Press 2022-04-27 /pmc/articles/PMC9081599/ /pubmed/35542826 http://dx.doi.org/10.1093/ehjcr/ytac183 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle From The Case Gallery
Kunal, Shekhar
Shah, Bhushan
Bagarhatta, Rajeev
Verma, Hemlata
Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title_full Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title_fullStr Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title_full_unstemmed Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title_short Perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
title_sort perforated cuspal aneurysm of aortic valve following infective endocarditis presenting as complete heart block: a case report and review of literature
topic From The Case Gallery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9081599/
https://www.ncbi.nlm.nih.gov/pubmed/35542826
http://dx.doi.org/10.1093/ehjcr/ytac183
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