Vol 70, No 11 (2012)
Case studies
Published online: 2012-11-21
Is establishing diagnosis of perivalvular abscess still difficult?
DOI: 10.33963/v.kp.79068
Kardiol Pol 2012;70(11):1164-1166.
Abstract
We report the case of 42-year-old male, who developed infective endocarditis on bicuspid aortic valve due to infection of
the central line with Staphylococcus aureus MSSA. The patient was hospitalised several times in district hospitals because of
worsening of heart failure. He had a few transthoracic (TTE) and one transesophageal (TEE) echocardiography which did not
reveal early stages of perivalvular abscess and was disqualified from surgical procedures due to bad left ventricular systolic
function. The second TEE done a month after the first one showed an abscess with perforation to the right ventricle. The
patient died disqualified again from surgical procedure due to multiorgan failure.
Keywords: infective endocarditisabscessechocardiography