Infective endocarditis of quadricuspid aortic valve

Journal of Cardiothoracic Surgery

Case Report

Hossein Amirjamshidi¹  Daniel R. Ziazadeh¹  Ariana M. Goodman¹  Kazuhiro Hisamoto¹  Andrew S. Jones² 

[1] Department of Surgery Division of Cardiac Surgery, University of Rochester Medical Center, Box: Surg 601 Elmwood Ave, 14642, Rochester, NY, USA;School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA;

关键词: Endocarditis;    Bacterial endocarditis;    Aortic valve;    Congenital aortic valve;    Infective endocarditis;    Cardiac surgery;    Surgical aortic valve replacement;   

DOI  :  10.1186/s13019-023-02164-x

 received in 2022-10-23, accepted in 2023-01-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInfective endocarditis of the aortic valve is a relatively common disease presentation, with surgical intervention a mainstay of treatment in severe cases. Quadricuspid aortic valves are a rare spontaneous developmental anomaly that are more likely to be asymptomatic, and less likely to require a full valve replacement than their hypocuspid counterparts. However, there is very little literature addressing infective endocarditis of this valve variant.Case presentationThis case report presents a case of infective endocarditis of a quadricuspid aortic valve that required replacement with a surgical bioprosthetic valve. The patient is a 30 year old male with a history of polysubstance use, upper extremity aneurysm, and prior tricuspid valve endocarditis. Surgical aortic valve replacement was performed with a 25 mm tissue valve via median sternotomy.ConclusionsThe patient made a full recovery after surgical aortic valve replacement and a course of antibiotics and was discharged home without any complications. This supports that surgical aortic valve replacement is feasible and safe in patients with polycuspid aortic valve endocarditis.

【 授权许可】

CC BY   
© The Author(s) 2023

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