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