perivalvular abscess of tricuspid valve: a rare complication of infective endocarditis

Perivalvular Abscess of Tricuspid Valve: A Rare Complication of Infective Endocarditis

Infective endocarditis is a serious complication of intravenous (IV) drug abuse, with a reported mortality of 5 to 10%. A 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. Transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. Despite antibiotic therapy for ten days, the patient remained febril...

Infective endocarditis and perivalvular abscess: a dangerous duo.

A rare complication of infective endocarditis.

A 65-year-old man with a permanent pacemaker placed for atrioventricular block presented to the emergency department with 4 days of fever, gastrointestinal complaints, and back pain. On presentation, he was febrile, tachycardic, and hypotensive, with a significant leukocytosis. Urine and blood cultures grew methicillin-sensitive staphylococcus aureus in 6/6 bottles. The patient was initiated on...

Bicuspid aortic valve endocarditis complicated by perivalvular abscess.

A 37-year-old man presenting with fever and chest pain was admitted to our hospital. Electrocardiogram showed sinus tachycardia and complete left bundle branch block. Transthoracic echocardiogram showed infective endocarditis in the bicuspid aortic valve, complicated by multiple hyperechoic vegetations and severe aortic regurgitation. Blood cultures were negative and intravenous empiric antibio...

Valve Ring Abscess in Active Infective Endocarditis

Analysis of 95 necropsy patients with active infective endocarditis (AIE) involving 128 native cardiac valves (aortic = 59, mitral = 48, tricuspid = 20, and pulmonic = 1) disclosed 27 patients with ring abscesses involving 30 valves: the aortic valve ring was infected in 24 patients and only an atrioventricular valve ring (mitral in two, and tricuspid in one) in three patients. Comparison of th...

Detection of Perivalvular Abscess with Late Gadolinium-Enhanced MR Imaging in a Patient with Infective Endocarditis

The diagnosis of infective endocarditis (IE) is combination of clinical features and evidence of endocardial involvement. Echocardiography is the key component in the diagnosis and determining the treatment in patients with IE. Major criteria in diagnosis of IE includes endocardial involvement including oscillating intracardiac mass or vegetation, an annular abscess, prosthetic valve partial de...