Open AccessA spontaneously closed, acquired supravalvular Gerbode defect mimicking an unruptured sinus of Valsalva aneurysm
Author(s) -
ShunYi Hsu,
Ta-Chung Shen
Publication year - 2013
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.576
H-Index - 92
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ehjci/jet192
Subject(s) - medicine , cardiology , bicuspid aortic valve , auscultation , blood pressure , aneurysm , diastole , endocarditis , infective endocarditis , radiology , aortic valve
A 40-year-old man who had a past history of bicuspid aortic valve (BAV) presented with low-grade fever for 6 weeks and rapidly progressive dyspnoea for 1 day. He was hypothermic (35.9°C) with a blood pressure of 75/53 mmHg and a pulse rate of 106/min. On cardiac auscultation, there was a Grade 3/6 diastolic murmur at the right upper sternal border. A transoesophageal echocardiography (TEE) was undertaken due to suboptimal transthoracic echocardiographic (TTE) imaging quality and suspected infective endocarditis (IE), which demonstrated multiple irregular-shaped, oscillating vegetations ( Panel …
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