Journal of Perioperative Echocardiography

Register      Login

VOLUME 8 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Three-dimensional Echocardiographic Evaluation of Infective Endocarditis Aortic Valve Pathology in a COVID-19 Recovered Patient

Avneet Singh, Rajarajan Ganesan, Harkant Singh, Tsering Sandup, Subhrashis G Niyogi, Nischitha Gowda

Keywords : Aortic valve replacement, Infective endocarditis, Transesophageal echocardiography

Citation Information : Singh A, Ganesan R, Singh H, Sandup T, Niyogi SG, Gowda N. Three-dimensional Echocardiographic Evaluation of Infective Endocarditis Aortic Valve Pathology in a COVID-19 Recovered Patient. J Perioper Echocardiogr 2020; 8 (1):12-14.

DOI: 10.5005/jp-journals-10034-1111

License: CC BY-NC 4.0

Published Online: 19-05-2022

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

The incidence of nosocomial infective endocarditis (IE) has increased in the last 2 years during the COVID-19 pandemic and the patients might present with overlapping symptoms of heart failure and pneumonia. Simultaneously, COVID-19 is a hypercoagulable disorder that can complicate the postoperative course of a patient undergoing valve replacement. Therefore, the exact pathology of the native valve needs to be evaluated in such patients. We describe a case of a 45-year-old man with a history of non-compressive myelopathy and COVID-19 infection scheduled for aortic valve replacement and subaortic membrane resection. Intraoperative transesophageal echocardiography was instrumental in defining the aortic valve anatomy that changed the management plan.


PDF Share
  1. Martín-Dávila P, Fortún J, Navas E, et al. Nosocomial endocarditis in a tertiary hospital: an increasing trend in native valve cases. Chest 2005;128(2):772–779. DOI: 10.1378/chest.128.2.772.
  2. Pettersson GB, Hussain ST. Current AATS guidelines on surgical treatment of infective endocarditis. Ann Cardiothorac Surg 2019;8(6):630–644. DOI: 10.21037/acs.2019.10.05.
  3. Kariyanna PT, Jayarangaiah A, Dulal J, et al. Infective endocarditis and COVID 19: a systematic review. Am J Med Case Rep 2021;9(7):380–385. DOI: 10.12691/ajmcr-9-7-11.
  4. Baddour LM, Wilson WR, Bayer AS, et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American heart association. Circulation 2015;132(15):1435–1486. DOI: 10.1161/CIR.0000000000000296.
  5. Sanders DJ, Sutter JS, Tatooles A, et al. Endocarditis complicated by severe aortic insufficiency in a patient with COVID-19: diagnostic and management implications. Case Rep Cardiol 2020;2020:8844255. DOI: 10.1155/2020/8844255.
  6. Alizadeh K, Bucke D, Khan S. Complex case of COVID-19 and infective endocarditis. BMJ Case Rep 2021;14(8):e242205. DOI: 10.1136/bcr-2021-242205.
  7. Nishimura K, Koga M, Minematsu K, et al. Intracerebral hemorrhage in patients after heart valve replacement. J Neurol Sci 2016;363:195–199. DOI: 10.1016/j.jns.2016.02.033.
  8. Musci M, Weng Y, Hübler M, et al. Homograft aortic root replacement in native or prosthetic active infective endocarditis: twenty-year single-center experience. J Thorac Cardiovasc Surg 2010;139(3):665–673. DOI: 10.1016/j.jtcvs.2009.07.026.
  9. Savage EB, Saha-Chaudhuri P, Asher CR, et al. Outcomes and prosthesis choice for active aortic valve infective endocarditis: analysis of the society of thoracic surgeons adult cardiac surgery database. Ann Thorac Surg 2014;98(3):806–814. DOI: 10.1016/j.athoracsur.2014.05.010.
  10. Kim JB, Ejiofor JI, Yammine M, et al. Are homografts superior to conventional prosthetic valves in the setting of infective endocarditis involving the aortic valve? J Thorac Cardiovasc Surg 2016;151(5):1239–1248.e12482. DOI: 10.1016/j.jtcvs.2015.12.061.
  11. Katz MR, Barnhart GR, Johnson D, et al. Homograft replacement of single aortic valve cusps: 22 years follow-up. J Card Surg 1988;3(3 Suppl):297–303. DOI: 10.1111/jocs.1988.3.3s.297.
  12. Singh A, Kumar B, Ghotra GS, et al. Iatrogenic aortic regurgitation following percutaneous coronary intervention: role of transesophageal echocardiography in the detection and management. Ann Card Anaesth 2021;24(3):392–395. DOI: 10.4103/aca.ACA_125_20.
  13. Berrebi A, Monin JL, Lansac E. Systematic echocardiographic assessment of aortic regurgitation- what should the surgeon know for aortic valve repair? Ann Cardiothorac Surg 2019;8(3):331–341. DOI: 10.21037/acs.2019.05.15.
  14. Pushpa J, Bhat A, Prasanna Simha P, et al. Perioperative echocardiography in Ozaki's procedure: an observational study-single centre experience. MedPulse Int J Anesthesiol 2019;11:268–273.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.