Clinical and echocardiographic signs of severe aortic regurgitation due to infective endocarditis
#CardioTwitterCase originally published on Twitter
Patient with severe aortic regurgitation due to infective endocarditis, the echocardiogram showed a bicuspid aortic valve as the risk factor...
This case was originally published on Twitter by @CyntiaMachain via #CardioTwitterCase
Clinical presentation
37-year-old man, with no previous cardiac disease. Developed with symptoms, fever and heart failure, clinical main findings were aortic diastolic murmur and peripheral signs of aortic regurgitation, the echocardiogram showed a bicuspid aortic valve with a 14mm mobile vegetation and severe AR, presence of holodiastolic reversal flow in descending aorta, telediastolic velocity 83cm/s.
Holodiastolic flow reversal measured at the descending aorta with telediastolic velocity >20cm/s has been used as a surrogate marker to identify significant aortic regurgitation.
Case management
Successful SAVR with mechanical prosthesis was performed.
Original tweet and Twitter discussion
Severe AR secondary to infective endocarditis #EchoFirst#cardiology#valvularheartdisease#endocarditispic.twitter.com/eCE1DyXEw3
— Cyntia Machain (@CyntiaMachain) May 27, 2019
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