Department of Anesthesiology, Peking University People's Hospital, Beijing, China.
Division of Cardiac Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Echocardiography. 2021 Jun;38(6):1017-1020. doi: 10.1111/echo.15010. Epub 2021 May 20.
Brucellosis is endemic in the Mediterranean region, South American countries, and Asia. In China, it is frequently diagnosed in herdsmen who often have contact with livestock. Brucella endocarditis (BE) is a rare complication, but it is the leading reason for mortality. We report a rare case of BE of bicuspid aortic valve with consequent pseudoaneurysm of ascending aorta, which has never been reported before. The major educational value lies in acknowledging a novel presentation of BE which happened in a patient in remission of BE and appreciation of the role of echocardiography in early diagnosis and definitive surgical therapy.
布鲁氏菌病在地中海地区、南美洲国家和亚洲流行。在中国，它经常在经常接触家畜的牧民中被诊断出来。布鲁氏菌心内膜炎（BE）是一种罕见的并发症，但它是导致死亡的主要原因。我们报告了一例罕见的二叶主动脉瓣 BE 并发升主动脉假性动脉瘤的病例，以前从未报道过。该病例的主要教育价值在于认识到 BE 的一种新表现形式，这种情况发生在 BE 缓解的患者中，并认识到超声心动图在早期诊断和明确手术治疗中的作用。
