Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jul;36(7):1427-1430.
doi: 10.1111/echo.14418. Epub 2019 Jun 25.

A case report on endarteritis in a child with coarctation of aorta

Devi Gnanam  1 , Beatrijs Bartelds  1 , Wouter J van Leeuwen  2 , Ingrid M Frohn-Mulder  1 , Laurens P Koopman  1
Affiliations
Case Reports

A case report on endarteritis in a child with coarctation of aorta

Devi Gnanam et al. Echocardiography. 2019 Jul.

Abstract

Coarctation of aorta(CoA), complicated by endarteritis in a children is very rare. Here we present a case of endarteritis in an unoperated CoA in a four year old boy. CoA had been diagnosed in the referring hospital, yet the diagnosis of endocarditis distal to CoA, was made in the tertiary center using modified transthoracic echo windows or focused views. After six weeks of intravenous antibiotic treatment, a coarctectomy and end-to-end anastomosis was performed and he recovered clinically well. This case report concludes that echocardiography remains as the standard diagnostic method for identifying intracardiac manifestations of infective endocarditis/endarteritis. Last but foremost, it delineates the importance of modified transthoracic echo windows or focused views in identifying the unusual position of endocarditis.

Keywords: Streptococcus sanguinius; coarctation of aorta; congenital heart disease; endarteritis; infective endocarditis.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest.

Figures

Figure 1
Figure 1
Suprasternal view of aortic arch showing coarctation of aorta (CoA). Yellow arrow indicates CoA. Desc Ao = descendens aorta
Figure 2
Figure 2
Doppler of coarctation of aorta. Continuous wave doppler in distal aorta descendens with continuous antegrade flow throughout diastole
Figure 3
Figure 3
Modified ductal view in transthoracic echocardiography (TTE). Modified ductal parasternal echo window in TTE: Yellow bold arrow indicates vegetation in distal aorta descendens. Desc Ao = descendens aorta; LPA = left pulmonary artery; PA = pulmonary artery
Figure 4
Figure 4
Transesophageal echocardiography ‐ Aorta descendens. Yellow arrow indicates vegetation in distal aorta descendens at an angle of 0°. Desc Ao = descendens aorta
Figure 5
Figure 5
Transesophageal echocardiography (TEE)‐ Vegetation seen in distal of aorta descendens. Yellow arrows indicate highly mobile vegetation in distal aorta descendens, while angling the TEE probe. Desc Ao = descendens aorta
Figure 6
Figure 6
Aortic valve free of vegetation in transesophageal echocardiography. Ao = aorta, LV = left ventricle
See this image and copyright information in PMC

References

    1. Franco‐Paredes C, Workowski K, Harris M. Infective endocarditis‐endarteritis complicating coarctation of the aorta. Am J Med. 2002;112(7):590–592. - PubMed
    1. Anderson AM, Cabell CH, Sexton DJ. Aortic coarctation endarteritis in an adult: case report with cardiovascular magnetic resonance imaging findings and review of the literature. Clin Infect Dis. 2005;40(4):e28–e31. - PubMed
    1. Rodbard S. Blood velocity and endocarditis. Circulation. 1963;27:18–28. - PubMed
    1. Samiei N, Alizadeh A, Hashemi A, Mirmesdagh Y, Mozaffari K, Hosseini S. Unusual case of aortic coarctation complicated by mycotic pseudoaneurysm and bicuspid aortic valve endocarditis. Res Cardiovasc Med. 2014;3(1):e13838. - PMC - PubMed
    1. Leininger CR. Coarctation of the aorta, with superimposed bacterial endarteritis. Am J Dis Child. 1946;72:238. - PubMed

Publication types