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February 27, 2026CureusOpen Access

Enterococcal Endocarditis in a Bicuspid Aortic Valve Associated With a Sinus of Valsalva Aneurysm

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Authors

NKNaomi KhannaUniversity of MichiganADAlexa DenDulkFiltration Solutions (United States)APAdil PervaizMorristown Medical Center

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Implication

A complex case describes enterococcal infective endocarditis in a heart patient, suggesting urgent diagnostics are essential.

Key Points

  • This case aims to describe the challenges and outcomes of managing enterococcal endocarditis in a patient with structural cardiac anomalies.
  • Case report of a 68-year-old man
  • Initial misdiagnosis of Lyme disease
  • Continuous monitoring and diagnostic imaging with TEE
  • Urgent surgical intervention including Bentall procedure
  • Diagnosis was delayed due to misattribution of febrile illness to Lyme disease.
  • Transesophageal echocardiogram revealed severe complications such as leaflet perforation and vegetation.
  • Successful surgical management involved aortic valve replacement and pacemaker insertion.

Cite This Study

Khanna et al. (2026) studied this question.

synapsesocial.com/papers/69a134b8ed1d949a99abe418https://doi.org/10.7759/cureus.104214
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic Root Abscess Causing Atrioventricular Block in a Patient With Infective Endocarditis: A Fatal Case2025 · 1 citations
  2. 2Clinical Presentation, Etiology, and Outcome of Infective Endocarditis in the 21st Century2009 · 2,400 citations
  3. 3Incidence, Risk Factors and Subsequent Prognostic Impact of New-Onset Atrial Fibrillation in Infective Endocarditis2019 · 6 citations
  4. 4Aortic root abscess from Enterococcus faecalis infective endocarditis: Case report and brief review of the literature2022 · 5 citations
  5. 5Pseudoaneurysm of the aortic root following aortic valve endocarditis - a case with 2 rare life - threatening complications2021 · 2 citations