PMID: 946913Jan 1, 1976

Acute aortic regurgitation and abscess of sinus of Valsalva due to fulminating ulcerative endocarditis. Report of three fatal cases in children

Scandinavian Journal of Thoracic and Cardiovascular Surgery
A WennevoldJ R Jacobsen

Abstract

Acute aortic regurgitation due to ulcerative endocarditis developed in 3 children aged 10, 6, and 7 years, respectively. All had congenital aortic valve lesions. Intractable congestive heart failure ensued about 2 weeks, 1 week, and a few days, respectively, after onset of infection. Two patients were operated on in the acute stage, and in both, perivalvular spread of the infection was found with abscess formation of the right sinus of Valsalva perforating through the interventricular septum to the right ventricle; valve replacement and repair were performed, but both patients died. The correct diagnosis was missed in the third patient, who was thought to have myocarditis and who died one week after onset of infection: at autopsy a perforation of a bicuspid aortic valve and an aneurysm of the sinus of Valsalva were found.

References

Nov 1, 1973·Progress in Cardiovascular Diseases·L Weinstein, R H Rubin
Jun 1, 1973·Chest·J E OkiesT W Williams
Jan 1, 1972·Annals of Internal Medicine·F M GriffinC C Cobbs

Citations

Aug 1, 1980·The Annals of Thoracic Surgery·E P ToddJ S Cole

Related Concepts

Abscess
Acute Disease
Aneurysm, Mycotic
Aortic Valve Structure
Aortic Valve Insufficiency
Aortic Valve Stenosis
Bacterial Endocarditis
Staphylococcal Infections

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