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Case Reports
. 2020 Sep 29:2020:8844255.
doi: 10.1155/2020/8844255. eCollection 2020.

Endocarditis Complicated by Severe Aortic Insufficiency in a Patient with COVID-19: Diagnostic and Management Implications

David J Sanders  1 , Joanne S Sutter  1 , Antone Tatooles  2 , Tisha M Suboc  1 , Anupama K Rao  1
Affiliations
Case Reports

Endocarditis Complicated by Severe Aortic Insufficiency in a Patient with COVID-19: Diagnostic and Management Implications

David J Sanders et al. Case Rep Cardiol. .

Abstract

A 38-year-old man presented with cough, shortness of breath, and fatigue. He was diagnosed with Coronavirus Disease-2019 (COVID-19) as well as Enterococcus faecalis bacteremia. Imaging revealed a subaortic membrane with aortic valve endocarditis and severe aortic insufficiency. He had successful aortic valve replacement with a mechanical prosthesis and subaortic membrane resection. This case highlights some of the diagnostic and therapeutic challenges presented by COVID-19 pandemic.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
TTE from parasternal long axis view showing large echodensity on the right coronary cusp. Color Doppler demonstrates AI.
Figure 2
Figure 2
TEE from transgastric long axis view with beam path at 120 degrees showing aortic valve echodensity. Color Doppler demonstrates severe AI. Yellow arrow points to subaortic membrane.
Figure 3
Figure 3
Resected aortic valve with vegetation on the left coronary cusp and perforation of the right coronary cusp.
Figure 4
Figure 4
Intraoperative images showing the thin fibrotic subaortic membrane visible above the suction cannula.
See this image and copyright information in PMC

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