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Case #1 Illustration Aortic Root Relationship

This case study details a 72-year-old man with a history of asymptomatic aortic stenosis and recent urosepsis, who developed fever, chills, and rapidly progressed to congestive heart failure and sepsis. Surgical intervention was necessary due to enterococcal endocarditis affecting a calcific bicuspid valve, accompanied by an abscess and ventricular septal defect (VSD). Key measurements of the aortic root and surgical findings are discussed, highlighting the challenges in managing aortic root abscesses in the context of infectious endocarditis.

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Case #1 Illustration Aortic Root Relationship

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  1. Case #1Illustration Aortic Root Relationship Aortic Root Abscess

  2. Case #1 • Aortic abscess tracking mitral-aortic interstitial fibrosa • 72 y/o man with known asymptomatic aortic stenosis status post ORIF hip 5 months prior.Recently developed fever, chills. Hx of urosepsis. Admitted for workup. Rapidly developed CHF, sepsis requiring intubation, respiratory support vasopressin for pressure control • Entercoccal endocarditis of calcific bicuspid valve with abscess, VSD • Aortic Root: Surgical Annulus 3.3cm Sinus of Valsalva 3.8cm STJ 3.8cm

  3. AVR Endocarditis DC 03

  4. AVR Endocarditis DC 06

  5. AVR Endocarditis DC 13

  6. AVR Endocarditis DC 25

  7. AVR Endocarditis DC 35

  8. AVR Endocarditis DC 76

  9. AVR Endocarditis DC 78

  10. AVR Endocarditis DC 66

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