Abstract

Infective endocarditis is the infection of the endocardium. The pathologic hallmarks of infective endocarditis are vegetations. They appear as irregular, mobile or fixed masses that usually attach to the endocardium on the low-pressure side of a valve, chordae tendinae or ascending aorta. Duke criteria are clinically relevant for the diagnosis of infective endocarditis. In addition to clinical and laboratory findings with these criteria, the diagnosis can be made with high accuracy with imaging findings. Imaging also plays a decisive role in pre-operative evaluation, during heart valve operations and in the evaluation of often severe complications to the disease. We present a 75-year-old male patient who was diagnosed with aortomitral curtain pseudoaneurysm due to infective endocarditis after clinical, laboratory and radiological evaluation in the light of literature review.

Highlights

  • The definition of infective endocarditis (IE) is the infection of the endocardium

  • We present a 75-year-old male patient who was diagnosed with aortomitral curtain pseudoaneurysm due to infective endocarditis after clinical, laboratory and radiological evaluation

  • A serious complications of aortic valve infective endocarditis and the developement of pseudoaneurysm of the aortomitral curtain was demonstrated in this case

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Summary

Introduction

The definition of infective endocarditis (IE) is the infection of the endocardium. It commonly affects the leaflets of valves and chordae tendineae. We present a 75-year-old male patient who was diagnosed with aortomitral curtain pseudoaneurysm due to infective endocarditis after clinical, laboratory and radiological evaluation. Lumbar spine MRI (1.5 Tesla, GE Healthcare Optima MR 450) showed spondylodiscitis, medullary edema signal, the left paravertebral area had a soft tissue component affecting the psoas muscle at L2L3 level. Tissue biopsy from this localization was the result of culture microorganism methicillin-sensitive catalase negative Staphylococcus aureus (MSSA). A serious complications of aortic valve infective endocarditis and the developement of pseudoaneurysm of the aortomitral curtain was demonstrated in this case

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