Why the study?
Tunnel sub-aortic stenosis is an unusual form of left ventricular outflow obstruction, and infective endocarditis involving this congenital anomaly is extremely rare and undescribed in literature.
Answers are grounded in this paper and cite their sources.
This case report highlights the aggressive nature of infective endocarditis in patients with sub-aortic tunnel stenosis and emphasizes the importance of antibiotic prophylaxis.
Tunnel sub-aortic stenosis is a very unusual form of obstruction to left ventricular outflow. Endocarditis involving this congenital anomaly is extremely rare and not described in literature. We report the case of a 45-year-old woman who was diagnosed with a severe left ventricle outflow obstruction because of sub-aortic tunnel and was proposed for elective surgery. One month after diagnosis of her heart disease, she presented with fever and deterioration of general condition. Diagnosis of infective endocarditis secondary to a community acquired streptococcus viridans was confirmed on the basis of biological and echocardiographic abnormalities. The evolution was fatal because of multivalvular destruction and severe left ventricle dysfunction, despite rapid surgery and antibiotherapy. In this case report, we describe an extremely rare situation and we insist on the aggressive character of infective endocarditis in sub-aortic tunnel. We also emphasize the importance of antibioprophylaxis in this specific condition.
No takes yet. Share an insight, caveat, or question.
Messaoudi et al. (2022) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: