Description

about 70 y old patient with condition after cardiac surgery 2 years ago with implantation of aortic bioprothesis because of severe aortic endocarditis with distinct paravalvular abscess. Actually the patient was admitted to our ER/ hospital with chills, fever and other clinical afflications of severe infection. In TTE we couldn´t found any signs of endocarditis and no elevated transprothetic Gradient of aortic bioprosthesis (SJM 25 mm). In TEE you can see a typical paraprothetic abscess of aortic bioprosthesis. Besides we found a mild till moderate mitral valve insufficiency and a sweeping atrial pacemaker-lead into the right ventricle (condition after implantation of DDDR-pacemaker because of intermittend high-grade AV-block and chronotropic incompetency). Pacemaker leads are definitely free of endocarditic vegetations.

Video URL:
http://www.echojournal.org/video/714/paravalvular-abscess-of-aortic-bioprosthesis