PDF(Pubmed)
Abstract：
Our case highlights an atypical presentation of aortic valve endocarditis after initial presentation with endophthalmitis. This case demonstrates the rapidity of evolution of aortic valve endocarditis through sequential, multimodal imaging, and features the importance of a multidisciplinary approach required for the management of complicated aortic valve endocarditis. A male in his mid-thirties was admitted to the hospital with left endophthalmitis and diabetic ketoacidosis. He was found to have aortic valve endocarditis and severe aortic insufficiency, which progressed to aortic root pseudoaneurysm and subsequently to aorto-atrial fistula in less than 72 hours, as demonstrated by consecutive multimodality imaging studies. After extensive surgical repair, post-operative recovery, and rehabilitation, he was discharged home with a good functional outcome. Sequential and multimodal imaging can be beneficial in diagnosing paravalvular infection early in its evolution, which is crucial for decision-making regarding medical and surgical treatment strategies.
摘要：
我们的病例突出了在初次出现眼内炎后主动脉瓣心内膜炎的非典型表现。该病例证明了主动脉瓣心内膜炎的演变速度，多模态成像,并指出了复杂主动脉瓣心内膜炎的管理所需的多学科方法的重要性。一名三十多岁的男性因左眼炎和糖尿病酮症酸中毒入院。他被发现患有主动脉瓣心内膜炎和严重的主动脉瓣关闭不全，在不到72小时内进展为主动脉根部假性动脉瘤，随后进展为主动脉心房瘘，连续的多模态成像研究证明了这一点。经过广泛的手术修复，术后恢复,和康复,他出院回家，功能良好。序贯和多模态成像可在早期诊断瓣膜旁感染。这对于医疗和外科治疗策略的决策至关重要。
