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European Journal of Echocardiography Advance Access published online on March 9, 2007
European Journal of Echocardiography, doi:10.1016/j.euje.2007.01.003
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Multiple pseudo-abscesses following aortic valve replacement

M. N. Attar*, R. K. G. Moore and S. Khan

Department of Cardiology, Royal Preston Hospital, Sharoe Green Lane, Preston, Lancashire PR2 5HT, UK

Received 14 December 2006; accepted after revision 12 January 2007.

* Corresponding author: 22 St. Gregory Road, Preston, Lancashire PR1 6YB, UK. Tel: +44 7981 925 483/1772 466787; fax: +44 1772 522948. E-mail address: nadattar{at}hotmail.com (M.N. Attar).


  Abstract

Prosthetic aortic valve endocarditis is associated with valve ring abscess, conduction abnormalities and a grave prognosis. Aortic root abscess is a serious complication of infective endocarditis with high mortality. We report a case of a patient who had echocardiographic features resembling aortic root abscess along with severe aortic regurgitation, 6 weeks following aortic valve replacement. Valvular dehiscence led to perivalvular abscess like appearance. Infective endocarditis was exluded. He underwent a successful redo aortic valve surgery with slow recovery.

Keywords: Valvular dehiscence; Aortic root abscess; Pseudo-abscess; Aortic valve replacement


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