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Near‐complete aortic mechanical valve dehiscence due to endocarditis reinfection
Author(s) -
Gerstein Neal S.,
Bhamidipati Castigliano M.,
Schulman Peter M.
Publication year - 2018
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14008
Subject(s) - dehiscence , medicine , endocarditis , aortic valve , ascending aorta , cardiology , infective endocarditis , calcification , aorta , surgery
Prosthetic valve infective endocarditis ( IE ) is one of the most serious postimplantation complications. Prosthetic aortic valve IE constitutes 1%–6% of all prosthetic valve IE cases. We present a dramatic echocardiographic case of prosthetic aortic valve IE leading to near‐complete valve dehiscence. Echocardiographic evidence of prosthetic aortic valve rocking motion is indicative of significant dehiscence. Aside from IE , other causes and risk factors for prosthetic aortic valve dehiscence include inflammatory and autoimmune vasculitides, concomitant ascending aorta aneurysm, and aortic root calcification.