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Article Details
Clinical Image
Volume 3, Issue 10 (October Issue)

Aortic Prosthetic Endocarditis with Peri-prosthetic Abscess

Leticia Santos*, Inês Marques, Filipa Monteiro, Jorge Lopes, Catarina Bekerman and Catarina Valadão

Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal

*Corresponding author: Leticia Santos, Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal. E-mail: leticia93santos@gmail.com

Received: November 12, 2021; Accepted: November 19, 2021; Published: December 03, 2021

Citation: Santos L, Marques I, Monteiro F, et al. Aortic Prosthetic Endocarditis with Peri-prosthetic Abscess. Clin Image Case Rep J. 2021; 3(10): 196.

Abstract

A 85-year-old male with history of heart failure, biological aortic prosthesis and atrial fibrillation was hospitalized for urinary septic shock to Escherichia coli and was treated with empiric antibiotic. The transesophageal echocardiogram showed no dysfunction of the prosthesis. Due to clinical worsening, the patient repeated the echocardiogram which showed a vegetation on the non-coronary cusp and vegetation at the base of the mitral valve with a fistula between the implantation area of the prosthesis and the left atrium. The patient was rejected for cardiac surgery due to unfavorable surgical conditions and completed 6 weeks of directed antibiotherapy. He improved and was discharged with indication to maintain prophylactic antibiotic till echocardiographic reassessment.