Pseudoaneurysm of the aortic root following aortic valve endocarditis - a case with 2 rare life - threatening complications

Radiology Case Reports

Vincenzo De Stasio, MD¹  Monia Pasqualetto, MD²  Cecilia Cerimele, MD³  Francesco Grimaldi, MD⁴  Carlotta Rellini, MD⁴  Paola Leomanni, MD⁴  Marcello Chiocchi, MD PhD⁴  Luigi Spiritigliozzi, MD⁴  Carlo Di Donna, MD⁴  Matteo Cesareni, MD⁴  Francesco Garaci, MD PhD⁴  Salvatore Masala, MD PhD⁴  Francesco Sbordone, MD⁴  Mario Laudazi, MD⁴  Federica Di Tosto, MD⁴  Francesca D'Errico, MD⁴  Leonardo Benelli, MD⁴  Luca Pugliese, MD⁴  Martina Cerocchi, MD⁴  Alessandra Luciano, MD⁴  Roberto Floris, MD PhD⁴  Gianluca Vanni, MD PhD⁴  Lucrezia Caterino, MD⁵ 

[1] Corresponding author. F. D'Errico.;Policlinico Agostino Gemelli, Rome, Italy;Breast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy;Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Viale Oxford, 81, Rome 00133, Italy;Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy;

关键词: Pseudoaneurysm;    Endocarditis;    Fistula;    Valvular annulus;    Coronary computed tomography angiography;   

DOI  :  

来源: DOAJ

【 摘 要 】

Infective endocarditis can have peri-annular spread and involve the valvular annulus and adjacent cardiac structures, leading to tissue necrosis and peri-annular abscess. This process may cause pseudoaneurysm formation and other rare and potentially life-threatening complications, so their identification and correct diagnosis are crucial.We describe a case of an 81-year-old woman, with a history of aortic valve replacement and worsening of symptoms, that presents at the imaging a pseudoaneurysm of the aortic root complicated at the same time by 2 life-threatening conditions: fistulization in the Right Ventricular Outflow Tract (RVOT) and the compression of Right Coronary Artery (RCA).This case underlines the importance of imaging, especially Coronary Computed Tomography Angiography (CCTA), in the diagnosis and follow-up of infective endocarditis and its complications, especially in a patient not eligible for surgery.

【 授权许可】

Unknown