Abstract
A 68 year old man with an aortic valve prosthesis was admitted to hospital with Staphylococcus aureus endocarditis. Despite antibiotic treatment he continued to be pyrexial. Computed tomography identified a probable abscess between the root of the aorta and the left atrium. The presence of an abscess in this location was subsequently confirmed at operation. Computed tomography is a useful additional diagnostic method for identifying this potentially lethal complication of bacterial endocarditis.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arnett E. N., Roberts W. C. Prosthetic valve endocarditis: clinicopathologic analysis of 22 necropsy patients with comparison observations in 74 necropsy patients with active infective endocarditis involving natural left-sided cardiac valves. Am J Cardiol. 1976 Sep;38(3):281–292. doi: 10.1016/0002-9149(76)90169-7. [DOI] [PubMed] [Google Scholar]
- Arnett E. N., Roberts W. C. Valve ring abscess in active infective endocarditis. Frequency, location, and clues to clinical diagnosis from the study of 95 necropsy patients. Circulation. 1976 Jul;54(1):140–145. doi: 10.1161/01.cir.54.1.140. [DOI] [PubMed] [Google Scholar]
- Fox S., Kotler M. N., Segal B. L., Parry W. Echocardiographic diagnosis of acute aortic valve endocarditis and its complications. Arch Intern Med. 1977 Jan;137(1):85–89. [PubMed] [Google Scholar]
- Heitzman E. R. Fleischner Lecture. Computed tomography of the thorax: current perspectives. AJR Am J Roentgenol. 1981 Jan;136(1):2–12. doi: 10.2214/ajr.136.1.2. [DOI] [PubMed] [Google Scholar]
- Mardelli T. J., Ogawa S., Hubbard F. E., Dreifus L. S., Meixell L. L. Cross-sectional echocardiographic detection of aortic ring abscess in bacterial endocarditis. Chest. 1978 Nov;74(5):576–578. doi: 10.1378/chest.74.5.576. [DOI] [PubMed] [Google Scholar]
- Nakamura K., Suzuki S., Satomi G., Hayashi H., Hirosawa K. Detection of mitral ring abscess by two-dimensional echocardiography. Circulation. 1982 Apr;65(4):816–819. doi: 10.1161/01.cir.65.4.816. [DOI] [PubMed] [Google Scholar]
- Scanlan J. G., Seward J. B., Tajik A. J. Valve ring abscess in infective endocarditis: visualization with wide angle two dimensional echocardiography. Am J Cardiol. 1982 May;49(7):1794–1800. doi: 10.1016/0002-9149(82)90261-2. [DOI] [PubMed] [Google Scholar]
- Wong C. M., Oldershaw P., Gibson D. G. Echocardiographic demonstration of aortic root abscess after infective endocarditis. Br Heart J. 1981 Nov;46(5):584–586. doi: 10.1136/hrt.46.5.584. [DOI] [PMC free article] [PubMed] [Google Scholar]

