scholarly journals Surgical Treatment of Aortic Valve Regurgitation due to Infective Endocarditis Associated with Congenital Quadricuspid Aortic Valve

2004 ◽  
Vol 33 (4) ◽  
pp. 306-308 ◽  
Author(s):  
Yuhei Saitoh ◽  
Masaki Aota ◽  
Hiroyuki Koike ◽  
Hanae Uekusa ◽  
Takeichiro Nakane ◽  
...  

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Gilles Uijtterhaegen ◽  
Laura De Donder ◽  
Eline Ameloot ◽  
Kristof Lefebvre ◽  
Jo Van Dorpe ◽  
...  

Abstract Background Granulomatosis with polyangiitis (GPA), formerly known as Wegener’s granulomatosis, is a systemic inflammatory process predominantly affecting upper and lower respiratory tract and kidneys. Valvular heart disease is a rare manifestation of GPA. Case summary We report two cases of acute valvular heart disease mimicking acute endocarditis caused by GPA. Both patients were middle-aged females with acute aortic valve regurgitation suggestive of possible infective endocarditis. In their recent medical history, atypical otitis and sinusitis were noted. The first patient was admitted with heart failure and the second patient because of persisting fever. Echocardiogram revealed severe aortic regurgitation with an additional structure on two cusps, suggestive of infective endocarditis in both patients. Urgent surgical replacement was performed; however, intraoperative findings did not show infective endocarditis, but severe inflammatory changes of the valve and surrounding tissue. In both patients, the valve was replaced by a prosthetic valve. Microscopic examination of the valve/myocardial biopsy showed diffuse acute and chronic inflammation with necrosis and necrotizing granulomas, compatible with GPA after infectious causes were excluded. Disease remission was obtained in both patients, in one patient with Rituximab and in the other with Glucocorticoids and Cyclophosphamide. Both had an uneventful follow-up. Discussion Granulomatosis with polyangiitis can be a rare cause of acute aortic valve regurgitation mimicking infective endocarditis with the need for surgical valve replacement. Atypical ear, nose, and throat symptoms can be a first sign of GPA. Symptom recognition is important for early diagnosis and appropriate treatment to prevent further progression of the disease.



2009 ◽  
Vol 57 (01) ◽  
pp. 54-56 ◽  
Author(s):  
H. Inoue ◽  
Y. Iguro ◽  
T. Kinjo ◽  
H. Matsumoto ◽  
G. Yotsumoto ◽  
...  


2013 ◽  
Vol 95 (2) ◽  
pp. 586-592 ◽  
Author(s):  
Charles Mve Mvondo ◽  
Paolo Nardi ◽  
Carlo Bassano ◽  
Fabio Bertoldo ◽  
Susanna Grego ◽  
...  


2017 ◽  
Vol 46 (6) ◽  
pp. 334-338
Author(s):  
Ryo Kanamoto ◽  
Takahiro Shojima ◽  
Kanako Sakurai ◽  
Mau Amako ◽  
Hiroyuki Otsuka ◽  
...  


2001 ◽  
Vol 30 (5) ◽  
pp. 248-251
Author(s):  
Hiromi Yano ◽  
Tatsuhiko Kudou ◽  
Naoki Konagai ◽  
Mitsunori Maeda ◽  
Masaharu Misaka ◽  
...  






2021 ◽  
Vol 2 (2) ◽  
pp. 130-134
Author(s):  
Pedro Rojas ◽  
Josué Sisniegas ◽  
Cristian Aguilar ◽  
Necemio Aranda ◽  
Josías Ríos

The combination of aortic valve regurgitation, rheumatoid aortitis, and subaortic stenosis is not frequent in patients with rheumatoid arthritis. Moreover, the surgical treatment of these entities may be challenging with non-adequate results. We report a case of a patient with severe aortic valve regurgitation, inaccessible aortic root secondary to rheumatoid aortitis, and severe subaortic stenosis initially treated by aortic valve replacement. We reoperated the patient due to acute prosthetic valve failure performing an aortic valve reconstruction using bovine pericardium and Ozaki’s technique with good outcomes.



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