A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review
Infective endocarditis (IE) is an infection of the endocardium that involves valves and adjacent mural endocardium or a septal defect. Local complications include severe valvular insufficiency, which may lead to intractable congestive heart failure and myocardial abscesses. If left untreated, IE is...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/291079 |
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| author | Shahzad Khan Athanasios Smyrlis Dmitry Yaranov David Oelberg Eric Jimenez |
| author_facet | Shahzad Khan Athanasios Smyrlis Dmitry Yaranov David Oelberg Eric Jimenez |
| author_sort | Shahzad Khan |
| collection | DOAJ |
| description | Infective endocarditis (IE) is an infection of the endocardium that involves valves and adjacent mural endocardium or a septal defect. Local complications include severe valvular insufficiency, which may lead to intractable congestive heart failure and myocardial abscesses. If left untreated, IE is generally fatal. Diagnosing IE can be straightforward in patients with the typical oslerian manifestations such as bacteremia, evidence of active valvulitis, peripheral emboli, and immunologic vascular phenomena. In the acute course, however, the classic peripheral stigmata may be few or absent, particularly among intravenous drug abuse (IVDA) patients in whom IE is often due to a S. aureus infection of right-sided heart valves. We present a complicated case of a very aggressive native aortic valve MSSA (methicillin sensitive Staphylococcus aureus) IE in a young adult male with a past medical history of bicuspid aortic valve and IV drug abuse. His clinical course was complicated by aortic valve destruction and development of third-degree AV block, as well as an aorto-left atrial fistula requiring emergent operation for AV replacement and patch repair. The patient required two reoperations for recurrent endocarditis and its complications. |
| format | Article |
| id | doaj-art-c8e938feb6534459af7cdf1deeac8d88 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-c8e938feb6534459af7cdf1deeac8d882025-08-20T03:24:11ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/291079291079A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature ReviewShahzad Khan0Athanasios Smyrlis1Dmitry Yaranov2David Oelberg3Eric Jimenez4Danbury Hospital, Western Connecticut Health Network, 187 Willow Springs, New Milford, CT 06776, USADanbury Hospital, Western Connecticut Health Network, 187 Willow Springs, New Milford, CT 06776, USADanbury Hospital, Western Connecticut Health Network, 187 Willow Springs, New Milford, CT 06776, USADanbury Hospital, Western Connecticut Health Network, 187 Willow Springs, New Milford, CT 06776, USADanbury Hospital, Western Connecticut Health Network, 187 Willow Springs, New Milford, CT 06776, USAInfective endocarditis (IE) is an infection of the endocardium that involves valves and adjacent mural endocardium or a septal defect. Local complications include severe valvular insufficiency, which may lead to intractable congestive heart failure and myocardial abscesses. If left untreated, IE is generally fatal. Diagnosing IE can be straightforward in patients with the typical oslerian manifestations such as bacteremia, evidence of active valvulitis, peripheral emboli, and immunologic vascular phenomena. In the acute course, however, the classic peripheral stigmata may be few or absent, particularly among intravenous drug abuse (IVDA) patients in whom IE is often due to a S. aureus infection of right-sided heart valves. We present a complicated case of a very aggressive native aortic valve MSSA (methicillin sensitive Staphylococcus aureus) IE in a young adult male with a past medical history of bicuspid aortic valve and IV drug abuse. His clinical course was complicated by aortic valve destruction and development of third-degree AV block, as well as an aorto-left atrial fistula requiring emergent operation for AV replacement and patch repair. The patient required two reoperations for recurrent endocarditis and its complications.http://dx.doi.org/10.1155/2015/291079 |
| spellingShingle | Shahzad Khan Athanasios Smyrlis Dmitry Yaranov David Oelberg Eric Jimenez A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review Case Reports in Cardiology |
| title | A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review |
| title_full | A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review |
| title_fullStr | A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review |
| title_full_unstemmed | A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review |
| title_short | A Complicated Case of Triple Valve Infective Endocarditis in an IV Drug User with a Bicuspid Aortic Valve Requiring Three Separate Salvage Operations: A Case Report and Literature Review |
| title_sort | complicated case of triple valve infective endocarditis in an iv drug user with a bicuspid aortic valve requiring three separate salvage operations a case report and literature review |
| url | http://dx.doi.org/10.1155/2015/291079 |
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