Perforated periaortic valve abscess presents as acute pericarditis and patient died in transesophageal echocardiographic study

Tsung-Neng Tsai; Bing-Hsiean Tzeng; Gou-Jieng Hong; Kai-Min Chu; Shu-Meng Cheng; Shih-Ping Yang

doi:10.1016/j.echo.2005.12.015

Perforated periaortic valve abscess presents as acute pericarditis and patient died in transesophageal echocardiographic study

J Am Soc Echocardiogr. 2006 May;19(5):579.e1-3. doi: 10.1016/j.echo.2005.12.015.

Authors

Tsung-Neng Tsai¹, Bing-Hsiean Tzeng, Gou-Jieng Hong, Kai-Min Chu, Shu-Meng Cheng, Shih-Ping Yang

Affiliation

¹ Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

PMID: 16644446
DOI: 10.1016/j.echo.2005.12.015

Abstract

Rupture of infective endocarditis-associated perivalvular abscess of left ventricular outlet leading to death is a rare complication of transesophageal echocardiography. We report a case of impending rupture periaortic valve abscess of left ventricular outlet that was initially diagnosed as acute pericarditis at the emergency department in which the patient suddenly collapsed during the ongoing procedure of transesophageal echocardiography. Emergency surgical intervention was performed, but in vain. Destructive aortic valve and rupture of the periaortic valve abscess were found.

Publication types

Case Reports

MeSH terms

Abscess / diagnostic imaging*
Abscess / etiology*
Acute Disease
Adult
Aneurysm, Ruptured / diagnostic imaging*
Aneurysm, Ruptured / etiology*
Aortic Valve Insufficiency / diagnostic imaging*
Aortic Valve Insufficiency / etiology*
Diagnosis, Differential
Echocardiography, Transesophageal / adverse effects*
Fatal Outcome
Humans
Male
Pericarditis / diagnostic imaging
Pericarditis / etiology