Echocardiography fails to detect an extensive aortic root abscess in a patient with infective endocarditis: a case report.
Cheryl K ZoggArman AvestaPramod N BondeArya ManiPublished in: European heart journal. Case reports (2022)
As guidelines grapple with evolving understandings of how best to define the optimal imaging approach for the management of complicated IE, the results of this case clearly show the importance of heightened clinical suspicion and need for prompt operative intervention when faced with patients who present with predisposing conditions and concern for advanced conduction disease. Clinicians and researchers are encouraged to learn from the potential near-miss of an extensive periannular abscess to help guide guideline-development of imaging in complicated IE and prevent adverse outcomes in patients with similar presentations.