Rohan Anand MBA, Jasmin Rahesh MBA, Carlos Morales MD, Pooja Sethi MD
Aortic root abscess and endocarditis should be suspected in patients with bradycardia and sepsis. We present a case of a 76-year-old man who presented with a urinary tract infection and sepsis and developed bradycardia and ventricular standstill during his hospital admission. A transthoracic echocardiogram was unrevealing; transesophageal echocardiogram showed prosthetic valve dehiscence, an aortic root abscess, an intracardiac fistula, and tricuspid valve endocarditis. This case highlights the importance of suspecting endocarditis in patients with sepsis and a known source of infection, especially if blood cultures do not clear or conduction abnormalities develop.
Keywords: aortic root abscess, periannular abscess, heart block, infective endocarditis
Article citation: Anand R, Rahesh J, Morales C, Sethi P. Aortic root abscess – a deadly complication of UTI-induced infective endocarditis. The Southwest Respiratory and Critical Care Chronicles 2021;9(41):50–53
From: Department of Surgery (RA, JR) and Department of Internal Medicine (CM, PS), Texas Tech University Health Sciences Center, Lubbock, Texas
Submitted: 8/22/2021
Accepted: 9/22/2021
Reviewer: Aliakbar Arvandi MD
Conflicts of interest: none
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