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Echocardiographic Diagnosis of Acute Aortic Valve Endocarditis and Its Complications

Echocardiographic Diagnosis of Acute Aortic Valve Endocarditis and Its Complications Abstract Staphylococcus aureus aortic valve endocarditis and its complications in a patient were readily recognized by echocardiography. "Shaggy" echoes recorded from the aortic leaflets in diastole as well as irregular diastolic densities in the left ventricular outflow tract suggested flail aortic leaflets secondary to bacterial endocarditis. The presence of a double echo of the anterior aortic wall was an unusual finding. Initially thought to represent a localized dissection, abscess formation and pocket of edematous fluid accumulation was found between the anterior aortic wall and pulmonary artery. Premature closure of the mitral valve was evident shortly before the patient died. The specific echocardiographic features of flail aortic leaflets and premature mitral valve closure should alert the physician to consider immediate aortic valve replacement. (Arch Intern Med 137:85-89, 1977) References 1. DeMaria A, King J, Mason D: Echography and phonography of acute aortic regurgitation in bacterial endocarditis . Ann Intern Med 82:329-335, 1975.Crossref 2. Pridie RB, Benham R, Oakley CM: Echocardiography of the mitral valve in aortic valve disease . Br Heart J 33:296-304, 1971.Crossref 3. Dillon JC, Feigenbaum H, Konecke LL, et al: Echocardiographic manifestations of valvular vegetations . Am Heart J 86:698-704, 1973.Crossref 4. Botvinick EH, Schiller NB, Wickranasekaran R, et al: Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency . Circulation 51:336-347, 1975.Crossref 5. Wray TN: Echocardiographic manifestations of flail aortic valve leaflets in bacterial endocarditis . Circulation 51:832-835, 1975.Crossref 6. Mann T, McLaurin L, Grossman CE: Acute aortic regurgitation due to infective endocarditis . N Engl J Med 293:108-112, 1975.Crossref 7. Fortuin NJ, Craige E: On the mechanism of the Austin-Flint murmur . Circulation 45:558, 1972.Crossref 8. Meadows WR, VanPraagh S, Indreika M, et al: Premature mitral valve closure: A hemodynamic explanation for absence of the first heart sound in aortic insufficiency . Circulation 28:251-258, 1963.Crossref 9. Nanda NC, Gramiak R, Shah PM: Diagnosis of aortic root dissection by echocardiography . Circulation 48:506-513, 1973.Crossref 10. Brown OR, Popp RL, Kloster FE: Echocardiographic criteria for aortic root dissection . Am J Cardiol 36:17-20, 1975.Crossref 11. Moothart RW, Spangler RD, Blount SG: Echocardiography in aortic root dissection and dilation . Am J Cardiol 36:11-16, 1975.Crossref 12. Buchbinder NA, Roberts WC: Left-sided valvular active infective endocarditis: A study of 45 necropsy patients . Am J Med 53:20-35, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Echocardiographic Diagnosis of Acute Aortic Valve Endocarditis and Its Complications

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1977.03630130057014
Publisher site
See Article on Publisher Site

Abstract

Abstract Staphylococcus aureus aortic valve endocarditis and its complications in a patient were readily recognized by echocardiography. "Shaggy" echoes recorded from the aortic leaflets in diastole as well as irregular diastolic densities in the left ventricular outflow tract suggested flail aortic leaflets secondary to bacterial endocarditis. The presence of a double echo of the anterior aortic wall was an unusual finding. Initially thought to represent a localized dissection, abscess formation and pocket of edematous fluid accumulation was found between the anterior aortic wall and pulmonary artery. Premature closure of the mitral valve was evident shortly before the patient died. The specific echocardiographic features of flail aortic leaflets and premature mitral valve closure should alert the physician to consider immediate aortic valve replacement. (Arch Intern Med 137:85-89, 1977) References 1. DeMaria A, King J, Mason D: Echography and phonography of acute aortic regurgitation in bacterial endocarditis . Ann Intern Med 82:329-335, 1975.Crossref 2. Pridie RB, Benham R, Oakley CM: Echocardiography of the mitral valve in aortic valve disease . Br Heart J 33:296-304, 1971.Crossref 3. Dillon JC, Feigenbaum H, Konecke LL, et al: Echocardiographic manifestations of valvular vegetations . Am Heart J 86:698-704, 1973.Crossref 4. Botvinick EH, Schiller NB, Wickranasekaran R, et al: Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency . Circulation 51:336-347, 1975.Crossref 5. Wray TN: Echocardiographic manifestations of flail aortic valve leaflets in bacterial endocarditis . Circulation 51:832-835, 1975.Crossref 6. Mann T, McLaurin L, Grossman CE: Acute aortic regurgitation due to infective endocarditis . N Engl J Med 293:108-112, 1975.Crossref 7. Fortuin NJ, Craige E: On the mechanism of the Austin-Flint murmur . Circulation 45:558, 1972.Crossref 8. Meadows WR, VanPraagh S, Indreika M, et al: Premature mitral valve closure: A hemodynamic explanation for absence of the first heart sound in aortic insufficiency . Circulation 28:251-258, 1963.Crossref 9. Nanda NC, Gramiak R, Shah PM: Diagnosis of aortic root dissection by echocardiography . Circulation 48:506-513, 1973.Crossref 10. Brown OR, Popp RL, Kloster FE: Echocardiographic criteria for aortic root dissection . Am J Cardiol 36:17-20, 1975.Crossref 11. Moothart RW, Spangler RD, Blount SG: Echocardiography in aortic root dissection and dilation . Am J Cardiol 36:11-16, 1975.Crossref 12. Buchbinder NA, Roberts WC: Left-sided valvular active infective endocarditis: A study of 45 necropsy patients . Am J Med 53:20-35, 1972.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1977

References