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Chronic Otitis Media Resulting in Aortic Valve Replacement: A Case Report.

Guler A, Sahin MA, Gurkan Yesil F, Yildizoglu U, Demirkol S, Arslan M - J Tehran Heart Cent (2015)

Bottom Line: His body temperature was 38 (°)C.There was also a flail lesion extending the left ventricular outflow tract, resulting in pathological coaptation and severe aortic insufficiency.He was discharged on the 16(th) postoperative day in good condition.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Gulhane School of Medicine, Ankara, Turkey.

ABSTRACT
The bicuspid aortic valve is known to be the most common congenital cardiac malformation, with an approximate incidence rate of 1-2% in the general population. Most patients are unaware of the disease until the onset of infective endocarditis, which is a life-threatening complication that may affect a heart valve or other cardiac structures at the site of endothelial damage. A 22-year-old man presented to our internal medicine clinic with a complaint of acute onset dyspnea and fatigue. His body temperature was 38 (°)C. A diastolic murmur was detected at the right sternal border. Two-dimensional transthoracic echocardiography revealed severe aortic insufficiency, and two-dimensional transesophageal echocardiography showed that the aortic valve was bicuspid. There was also a flail lesion extending the left ventricular outflow tract, resulting in pathological coaptation and severe aortic insufficiency. The patient was referred to our cardiovascular department for surgery. We herein present this case of a bicuspid aortic valve complicated by infective endocarditis due to the underlying disease of chronic otitis media related to a rare pathogen: Alloiococcus otitidis. The patient underwent a successful aortic valve replacement surgery due to aortic insufficiency following infective endocarditis. He was discharged on the 16(th) postoperative day in good condition.

No MeSH data available.


Related in: MedlinePlus

View of the bicuspid aortic valve with a defective left-right coronary cusp
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Figure 2: View of the bicuspid aortic valve with a defective left-right coronary cusp

Mentions: After one week, as the inflammatory markers had decreased, the patient underwent an aortic valve replacement under antibiotic treatment suppression. During the operation, after aortotomy, the aortic valve was observed to have a bicuspid structure with a normal noncoronary leaflet. İn addition, there was a degenerative and fusioned left-right coronary leaflet with a cleft in the middle part (Figure 2). The operation was performed routinely. The resected valve specimens were sent in sterile containers to the microbiology laboratory for Gram staining and culturing and to the histopathology laboratory for histopathological examination and routine processing. The pathology report of the resected aortic valve revealed characteristic acute inflammation signs, polymorphonuclear leucocytes, Gram-positive coccus, and leaflet disruption and thickening. The microbiology culture, however, was negative.


Chronic Otitis Media Resulting in Aortic Valve Replacement: A Case Report.

Guler A, Sahin MA, Gurkan Yesil F, Yildizoglu U, Demirkol S, Arslan M - J Tehran Heart Cent (2015)

View of the bicuspid aortic valve with a defective left-right coronary cusp
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4477094&req=5

Figure 2: View of the bicuspid aortic valve with a defective left-right coronary cusp
Mentions: After one week, as the inflammatory markers had decreased, the patient underwent an aortic valve replacement under antibiotic treatment suppression. During the operation, after aortotomy, the aortic valve was observed to have a bicuspid structure with a normal noncoronary leaflet. İn addition, there was a degenerative and fusioned left-right coronary leaflet with a cleft in the middle part (Figure 2). The operation was performed routinely. The resected valve specimens were sent in sterile containers to the microbiology laboratory for Gram staining and culturing and to the histopathology laboratory for histopathological examination and routine processing. The pathology report of the resected aortic valve revealed characteristic acute inflammation signs, polymorphonuclear leucocytes, Gram-positive coccus, and leaflet disruption and thickening. The microbiology culture, however, was negative.

Bottom Line: His body temperature was 38 (°)C.There was also a flail lesion extending the left ventricular outflow tract, resulting in pathological coaptation and severe aortic insufficiency.He was discharged on the 16(th) postoperative day in good condition.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Gulhane School of Medicine, Ankara, Turkey.

ABSTRACT
The bicuspid aortic valve is known to be the most common congenital cardiac malformation, with an approximate incidence rate of 1-2% in the general population. Most patients are unaware of the disease until the onset of infective endocarditis, which is a life-threatening complication that may affect a heart valve or other cardiac structures at the site of endothelial damage. A 22-year-old man presented to our internal medicine clinic with a complaint of acute onset dyspnea and fatigue. His body temperature was 38 (°)C. A diastolic murmur was detected at the right sternal border. Two-dimensional transthoracic echocardiography revealed severe aortic insufficiency, and two-dimensional transesophageal echocardiography showed that the aortic valve was bicuspid. There was also a flail lesion extending the left ventricular outflow tract, resulting in pathological coaptation and severe aortic insufficiency. The patient was referred to our cardiovascular department for surgery. We herein present this case of a bicuspid aortic valve complicated by infective endocarditis due to the underlying disease of chronic otitis media related to a rare pathogen: Alloiococcus otitidis. The patient underwent a successful aortic valve replacement surgery due to aortic insufficiency following infective endocarditis. He was discharged on the 16(th) postoperative day in good condition.

No MeSH data available.


Related in: MedlinePlus