Highlights the rare but life-threatening presentation of intramyocardial paravalvular abscess years after aortic valve replacement, requiring urgent surgical intervention.
May warrant vigilance for late intramyocardial abscess in symptomatic post-AVR patients; leaves open optimal long-term surveillance strategies.
Myocardial abscess is a rare but life-threatening disease with various clinical presentations. We describe the case of a paravalvular abscess distending intramurally 7 years post surgery for aortic valve replacement. Early detection and urgent surgical intervention is essential for this otherwise fatal disease entity.
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Lutin et al. (2012) studied this question.
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