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Incidental Finding of Subannular Perfused Aortic Root Abscess

by
Luise Vöhringer
1,2,
Malte Niklas Bongers
3,
Florian Helms
4 and
Aron Frederik Popov
1,4,*
1
Department of Cardiothoracic and Vascular Surgery, Eberhard Karls University, 72074 Tuebingen, Germany
2
Department of Cardiac Surgery, University Hospital Basel, 4031 Basel, Switzerland
3
Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, 72074 Tuebingen, Germany
4
Division for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(1), 19; https://doi.org/10.3390/diagnostics14010019
Submission received: 25 October 2023 / Revised: 5 December 2023 / Accepted: 19 December 2023 / Published: 21 December 2023

Abstract

An 83-year-old female presented with aortic valve stenosis requiring surgery, which was diagnosed with a transthoracic echocardiography three years ago. However, the patient declined the surgery at that time due to personal reasons. Three years later she presented again with signs of dizziness and weakness and progression of the aortic valve stenosis. Cardiac catheterization and a computed tomography scan were performed before the planned surgery. Surprisingly, a huge subannular perfused abscess hole around the aortic root companying a pericardial effusion was revealed. The patient underwent an urgent aortic root replacement with a tissue valve and an aortic ascending replacement without any complications. Intraoperative inspection confirmed an active aortic root and valve endocarditis.
Keywords: cardiac surgery; aortic surgery; computed tomography; endocarditis; aortic root abscess cardiac surgery; aortic surgery; computed tomography; endocarditis; aortic root abscess

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MDPI and ACS Style

Vöhringer, L.; Bongers, M.N.; Helms, F.; Popov, A.F. Incidental Finding of Subannular Perfused Aortic Root Abscess. Diagnostics 2024, 14, 19. https://doi.org/10.3390/diagnostics14010019

AMA Style

Vöhringer L, Bongers MN, Helms F, Popov AF. Incidental Finding of Subannular Perfused Aortic Root Abscess. Diagnostics. 2024; 14(1):19. https://doi.org/10.3390/diagnostics14010019

Chicago/Turabian Style

Vöhringer, Luise, Malte Niklas Bongers, Florian Helms, and Aron Frederik Popov. 2024. "Incidental Finding of Subannular Perfused Aortic Root Abscess" Diagnostics 14, no. 1: 19. https://doi.org/10.3390/diagnostics14010019

APA Style

Vöhringer, L., Bongers, M. N., Helms, F., & Popov, A. F. (2024). Incidental Finding of Subannular Perfused Aortic Root Abscess. Diagnostics, 14(1), 19. https://doi.org/10.3390/diagnostics14010019

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