Wenjuan He, Yudong Peng, Yan Yi, Han Hu, Jinzhi Lu, Keming Chen, Qingsong Zeng
{"title":"Aortic Periannular Abscess Missed by Transthoracic Echocardiography: A Case Report","authors":"Wenjuan He, Yudong Peng, Yan Yi, Han Hu, Jinzhi Lu, Keming Chen, Qingsong Zeng","doi":"10.1002/ccr3.70114","DOIUrl":null,"url":null,"abstract":"<p>An aortic periannular abscess (PA) is a critical consequence of infective endocarditis (IE). In our case report, the patient's clinical symptoms were only fever, cough, and shortness of breath. He was then diagnosed with aortic PA, which was overlooked in the initial TTE assessment but later identified through transesophageal echocardiography (TEE). The patient underwent surgery immediately and recovered well. This case underscores the importance of TEE in revealing small, yet critical, intracardiac lesions that may be missed by TTE.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738642/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.70114","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
An aortic periannular abscess (PA) is a critical consequence of infective endocarditis (IE). In our case report, the patient's clinical symptoms were only fever, cough, and shortness of breath. He was then diagnosed with aortic PA, which was overlooked in the initial TTE assessment but later identified through transesophageal echocardiography (TEE). The patient underwent surgery immediately and recovered well. This case underscores the importance of TEE in revealing small, yet critical, intracardiac lesions that may be missed by TTE.
期刊介绍：
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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