Isaac Rea, Rana Dhara, Li Aobo, Atthota Vakula, Silverman Benjamin
School of Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.
Department of Internal Medicine, Inspira Health Network, Vineland, USA.
Cureus. 2025 May 27;17(5):e84897. doi: 10.7759/cureus.84897. eCollection 2025 May.
Isolated perforation of the aortic valve's noncoronary cusp (NCC) is an exceptionally rare but serious complication following bacterial endocarditis. Here we present a unique case of a 62-year-old male who developed an isolated NCC perforation after recovering from Methicillin-sensitive (MSSA) endocarditis. Despite successful antibiotic therapy, the patient experienced progressive cardiac symptoms, ultimately leading to the discovery of severe aortic insufficiency due to NCC perforation. This case underscores the importance of vigilant follow-up and the potential for late-onset complications in patients with a history of endocarditis.
主动脉瓣无冠瓣（NCC）孤立性穿孔是细菌性心内膜炎后一种极为罕见但严重的并发症。在此，我们报告一例独特病例，一名62岁男性在从甲氧西林敏感（MSSA）心内膜炎康复后发生了孤立性NCC穿孔。尽管抗生素治疗成功，但患者仍出现进行性心脏症状，最终因NCC穿孔导致严重主动脉瓣关闭不全被发现。该病例强调了对心内膜炎病史患者进行密切随访的重要性以及迟发性并发症的可能性。
