Infective bicuspid aortic valve endocarditis causing acute severe regurgitation and heart failure:A case report

作     者：Chang Hou Wu-Chao Wang Hong Chen Yuan-Yuan Zhang Wei-Min Wang 

作者机构：Department of CardiologyPeking University People’s HospitalBeijing 100044China Department of EmergencyPeking University People’s HospitalBeijing 100044China Department of PathologyPeking University People’s HospitalBeijing 100044China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第5期

页      面：1221-1227页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by National Key Research and Development Program of China No.2016YFC1301105 

主　　题：Infective endocarditis Acute heart failure Acute severe aortic regurgitation Bicuspid aortic valve Echocardiography Case report 

摘      要：BACKGROUND Infective endocarditis(IE)is an uncommon but potentially life-threatening infection,which occasionally develops into acute severe valve insufficiency leading to the onset of heart failure,and necessitates timely ***,the variable and atypical clinical manifestations always make the early detection of IE difficult and *** SUMMARY A 45-year-old female who was previously healthy presented with exertional shortness of breath and paroxysmal nocturnal *** also suffered from a significant decrease in exercise capacity,whereas her body temperature was *** had severe hypoxemia and hypotension along with a marked aortic valve *** pulmonary edema and bilateral pleural effusion were observed on both chest X-ray and computed tomography *** echocardiography was performed immediately and revealed severe regurgitation of the bicuspid aortic *** echocardiography was further performed and vegetations were *** addition to adequate medical therapy and ventilation support,the patient underwent urgent and successful aortic valve *** symptoms were significantly relieved and the postoperative chest X-ray showed that pulmonary edema was significantly *** of the resected valve and positive microorganism culture of the surgical specimen provided evidence of definite *** IE should be considered in critical patients with refractory heart failure caused by severe bicuspid aortic valve regurgitation.