Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.valvular heart disease, heart failure, echocardiography, acute endophthalmitis, coronary computed tomography angiogram (cta), aortic endocarditis, aorto-atrial fistula Aditya Achanta , Yaman Kheralah, Emily Hartsough, Madeleine I.
Key Information
Mathiesen, Albre Tower-Rader, Emily K. Zern Published: November 08, 2022 (se history) DOI: 10.759/cureus.31239 Cite this article as: Achanta A, Kheralah Y, Hartsough E, et al. (November 08, 2022) Multimodality Imaging of Progresive Aortic Valve Endocarditis: From Endophthalmitis to Aorto-Atrial Fistula.
Cureus 14(1): e31239. doi:10.759/cureus.31239 Our case highlights an atypical presentation of aortic valve endocarditis after initial presentation with endophthalmitis. This case demonstrates the rapidity of evolution of aortic valve endocarditis through sequential, multimodal imaging, and features the importance of a multidisciplinary aproach required for the management of complicated aortic valve endocarditis.
A male in his mid-thirties was admited to the hospital with left endophthalmitis and diabetic ketoacidosis. He was found to have aortic valve endocarditis and severe aortic insuficiency, which progresed to aortic rot pseudoaneurysm and subsequently to aorto-atrial fistula in les than 72 hours, as demonstrated by consecutive multimodality imaging studies. After extensive surgical repair, post-operative recovery, and rehabilitation, he was discharged home with a god functional outcome.
Summary
Sequential and multimodal imaging can beneficial in diagnosing paravalvular infection early in its evolution, which is crucial for decision-making regarding medical and surgical treatment strategies.Aorto-cavitary fistula formation is an uncomon complicat