ISSN: 2578-4633
Authors: Bodian M, Aw F, Mingou JS*, Sarr SA, Ngaide AA, Dioum M, Ndiaye MB, Archich N, Sangare Z, Mbaye A, Kane Ad, Diao M, Sarr M, Kane A and Ba SA
The aortic ring abscess is a rare and serious complication of infectious endocarditis. Echocardiography remains the diagnostic key, the treatment is expensive and the prognosis is generally dark .we report the case of a 29 years old patient with multiple value diseases who presented an aortic ring abscess.</p> <p>Observation: This is Miss M. D, 29, known with a rheumatic multiple valve disease: a combined mitral and tricuspid disease and an aortic regurgitation for over 15 years, with a history of multiple hospitalizations.</p> <p>At admission, she was in bad condition, suffered significant weight loss, was pale, a congestive heart failure, mitral regurgitation and stenosis signs, aortic regurgitation and pulmonary hypertension on a background of fever in the long course. The biology test noted anon specific inflammatory syndrome and negative blood cultures. Echocardiography showed, in addition to the multiple valve disease, a fluid collection at the valsalva sinus, suspicious of an abscess and multiple vegetation at the aortic valves.</p> <p>The patient received probabilistic anti biotherapy and congestive heart failure treatment. Surgery was indicated.</p> <p>Under probabilistic anti biotherapy, evolution was favorable at first then the clinical condition has deteriorated resulting in the death of the patient. The check up echo cardiographic noted a significant increase in the volume of the abscess.</p> <p>Conclusion: The aortic ring abscess is a serious complication of infectious endocarditis on native and prosthetic valve. Diagnosis is based mainly on Transthoracic and transosoephagial echocardiography. Surgery is indicated.
Keywords: Aortic Ring Abscess; Valvular Heart Disease; Rheumatoid Arthritis; Echocardiography; Dakar
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