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A Systolic Murmur Late after Infective Endocarditis: Looking for the Guilty.

ABSTRACT: Aortic location of infective endocarditis is a risk factor for perivalvular extension of infection, even when a native valve is involved. We report the case of a 50-year-old man with a systolic murmur and a history of previous aortic valve infective endocarditis requiring cardiac surgery. A thorough echocardiographic assessment, including three-dimensional transesophageal echocardiography, clearly demonstrated the presence of two distinct postinfective complications, i.e., a fistula of the mitral-aortic intervalvular curtain communicating in systole with the left atrium and an acquired Gerbode-type ventricular septal defect. Our case highlights the pivotal role of echocardiography for a correct and comprehensive diagnostic assessment in the complex scenarios frequently encountered after infective endocarditis.

SUBMITTER: Sperlongano S

PROVIDER: S-EPMC7011495 | biostudies-literature | 2019 Oct-Dec

REPOSITORIES: biostudies-literature

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A Systolic Murmur Late after Infective Endocarditis: Looking for the Guilty.

Sperlongano Simona S Scognamiglio Giancarlo G D'Andrea Antonello A Golino Paolo P

Journal of cardiovascular echography 20191001 4

Aortic location of infective endocarditis is a risk factor for perivalvular extension of infection, even when a native valve is involved. We report the case of a 50-year-old man with a systolic murmur and a history of previous aortic valve infective endocarditis requiring cardiac surgery. A thorough echocardiographic assessment, including three-dimensional transesophageal echocardiography, clearly demonstrated the presence of two distinct postinfective complications, i.e., a fistula of the mitra ...[more]

PMID: 32090002

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