A Large Aortic Root Mycotic Aneurysm with Complete Heart Block: A Rare Complication of Infective Endocarditis

Journal of Cardiovascular Disease Research,2018,9,1,41-42.DOI:10.5530/jcdr.2018.1.11Published:March 2018Type:Case ReportA Large Aortic Root Mycotic Aneurysm with Complete Heart Block: A Rare Complication of Infective EndocarditisKhandelwal K,Khandelwal G,andBansal AgamKhandelwal K1, Khandelwal G2, Bansal Agam2*1DNB Radiodiagnosis, Santokba Durlabhji Memorial Hospital (SDMH), Jaipur, Rajasthan, INDIA.2Department of Cardiology, AIIMS Bhopal, Madhya Pradesh, INDIA.Abstract:Infective endocarditis of aortic valve with peri-annular extension leading to a large mycotic aneurysm of aortic root is a rare yet grave complication. A 65-year-old male presented with on and off fever since 2 years, and dyspnea since 20 days. ECG showed complete heart block with narrow complex escape rhythm. Echocardiography study showed Rheumatic Heart Disease with severe mitral regurgitation and mild aortic regurgitation. There was a 53 * 47 mm thick walled mycotic aneurysm of aortic root posterior coronary sinus. Duke ’s criteria were suggestive of definite infective endocarditis, though the blood culture was negative. To the best of our knowledge, this is the largest aortic root mycotic aneurysm reported till date.Keywords:Complete heart block,Infective endocarditis,Mycotic aneurysmView:PDF (414.16 KB)Click here to download the PDF file.‹ Internal Carotid Artery Stenting in a Case of Recurrent Transient Ischemic Attacks: A Road Less Taken
Source: Journal of Cardiovascular Disease Research - Category: Cardiology Authors: Source Type: research