Abstract

Myocardial abscess is a rare but life-threatening disease with various clinical presentations. We describe the case of a paravalvular abscess distending intramurally 7 years post surgery for aortic valve replacement. Early detection and urgent surgical intervention is essential for this otherwise fatal disease entity.

Highlights

  • Myocardial abscess is a rare but life-threatening disease with various clinical presentations

  • II, his medical history included a significant aortic valve stenosis and ischemic heart disease for which a combined intervention was performed with prosthetic aortic valve replacement (ON-X-23) and coronary artery bypass grafting 7 years previously

  • Cardiac abscess is an uncommon and life-threatening disease. It has been described in various anatomic locations of the heart including the atrial auricle [1], the ventricular free wall [2,3,4], the interventricular septum [3] or perivalvular [5,6,7,8]

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Summary

INTRAMYOCARDIAL PARAVALVULAR ABSCESS AFTER AORTIC VALVE REPLACEMENT

Myocardial abscess is a rare but life-threatening disease with various clinical presentations. We describe the case of a paravalvular abscess distending intramurally 7 years post surgery for aortic valve replacement. Detection and urgent surgical intervention is essential for this otherwise fatal disease entity

Case presentation
CT findings
MRI findings
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Discussion

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