TITLE:
Native Aortic Valve Endocarditis—A Case Report
AUTHORS:
Ramachandran Muthiah
KEYWORDS:
Bicuspid Aortic Valve, Infective Endocarditis, Kissing Vegetations, Acute Aortic Regurgitation, Aortic Valve Replacement
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.7 No.9,
September
13,
2018
ABSTRACT: Introduction: To report a case of isolated “endocarditic” aortic regurgitation in a 17-year old female with infective vegetations on aortic valve. Case Report: A 17-year old female was admitted with features of heart failure and a febrile illness. Blood cultures were negative and ECG revealed normal. Echocardiography revealed a “kissing-type” of vegetation on the bicuspid aortic valve with severe aortic regurgitation and a dilated left ventricle with moderate dysfunction. Conclusion: The management of aortic insufficiency occurring in infective endocarditis may differ and the presence of intractable pulmonary edema or shock is a clear indication for prompt valve replacement. The traditional diagnostic criteria are insufficient to diagnose infective endocarditis and the modified Duke criteria provide high sensitivity and specificity over 80% for the diagnosis of native valve endocarditis with positive blood cultures.