Silverton Natalie A, Bull David A, Morrissey Candice K
From the Departments of *Anesthesiology; and †Cardiothoracic Surgery, University of Utah, School of Medicine, Salt Lake City, Utah.
A A Case Rep. 2017 Jul 15;9(2):57-59. doi: 10.1213/XAA.0000000000000526.
Aortic root abscess is a complication of aortic valve endocarditis that is associated with a high morbidity and mortality. The diagnosis usually is made with transesophageal echocardiography, which is highly sensitive and specific for the disease. We present a case of suspected aortic root abscess 1 week after mechanical aortic valve replacement for native valve endocarditis. The diagnosis was made by the use of transesophageal echocardiography but surgical inspection revealed that the paravalvular fluid collection was excessive surgical adhesive. We discuss the clinical significance and differential diagnosis of aortic root abscess in the setting of infective endocarditis.
主动脉根部脓肿是主动脉瓣心内膜炎的一种并发症，与高发病率和死亡率相关。诊断通常通过经食管超声心动图进行，该检查对该病具有高度敏感性和特异性。我们报告一例在因自身瓣膜心内膜炎行机械主动脉瓣置换术后1周疑似主动脉根部脓肿的病例。诊断通过经食管超声心动图做出，但手术检查发现瓣周积液为过多的手术粘连。我们讨论了感染性心内膜炎背景下主动脉根部脓肿的临床意义及鉴别诊断。
