ArticleEuropean heart journal. Case reports2025
An aortic root abscess mimic identified by multi-disciplinary imaging review: a case report.
Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: While echocardiography and cardiac positron emission tomography (PET) can aid in the diagnosis of prosthetic valve endocarditis (PVE), post-operative changes can lead to false-positive imaging findings. We report a case of a patient with an aortic valve prosthesis with remnant BioGlue deposits mimicking a para-valvular abscess on imaging in the setting of suspected PVE. Case summary: A 67-year-old man presented with 2 days of fever, chills, and altered mentation. He had a history of two prior aortic root replacements-19 and 4 years prior to his presentation. He had blood cultures that were persistently positive for Discussion: Thorough review of prior interventions and serial imaging in patients with suspected PVE through a multi-disciplinary team approach is essential in elucidating the complete, often complex, clinical picture and recommending the most appropriate management.
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