27 August 2020 : Case report
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency careMaria S. Bonou1ABEF*, Eva D. Papadimitraki1ABEF, Chris J. Kapelios1ABEF, John Barbetseas1ABEF, Nora-Athina Viniou2ABEF
Am J Case Rep 2020; 21:e923023
BACKGROUND: Despite advances in management, infective endocarditis remains a condition with high in-hospital and post-discharge mortality, especially when it is complicated by perivalvular extension and heart failure (HF).
CASE REPORT: Herein we describe two illustrative cases of endocarditis. The first case was complicated by left ventricle to right atrial fistula. The second cased was complicated by valvular perforation with a “windsock” appearance. Both patients developed acute HF.
CONCLUSIONS: Fistulas and severe valvular regurgitation are among the major causes of acute HF in the setting of infective endocarditis. In such cases, surgery should be considered to decrease mortality.
Keywords: Endocarditis, Heart Failure, Staphylococcus aureus, Aftercare, Endocarditis, Bacterial, Heart Valve Diseases, Patient Discharge
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