TITLE:
Acquired Gerbode Defect Secondary to Severe Bicuspid Aortic Valve Endocarditis
AUTHORS:
Mohamed Elbayomi, Michael Weyand, Ehab Nooh, Jörg Fechner, Frank Harig
KEYWORDS:
Acquired Gerbode Defect, Infective Endocarditis, Staphylococcus aureus, Bicuspid Aortic Valve
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.11 No.3,
March
15,
2022
ABSTRACT: An annular aortic abscess is a fatal complication of infective endocarditis. Echocardiography is the initial imaging modality to confirm the diagnosis in suspected infective endocarditis. Here, we present a case of a bicuspid aortic valve infective endocarditis caused by Staphylococcus aureus and complicated with annular aortic abscess resulting in acquired Gerbode defect (type II) with tricuspid valve vegetation which was undiagnosed preoperatively. The intraoperative transoesophageal echocardiography yields a new finding prior to the surgical incision, which impacted the clinical decision-making and increased the burden of the procedure.