Common coronary ostium mimicking an aortic abscess in a case of bacterial endocarditis

J Am Soc Echocardiogr. 1998 Jan;11(1):80-2. doi: 10.1016/s0894-7317(98)70126-9.

Abstract

A patient with aortic valve endocarditis presented with severe aortic regurgitation, large vegetation, and a periannular cavity at transesophageal echocardiography consistent with an abscess. At surgery a common coronary ostium was found, which was responsible for the abnormal periannular image. Such congenital abnormality, although unusual, is an echocardiographic pitfall in the case of endocarditis.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnostic imaging*
  • Aortic Valve / diagnostic imaging*
  • Aortic Valve Insufficiency / complications
  • Coronary Vessel Anomalies / complications
  • Coronary Vessel Anomalies / diagnosis*
  • Diagnostic Errors
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / diagnostic imaging*
  • Heart Valve Diseases / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Streptococcal Infections / diagnostic imaging