İlk bulgusu atrioventriküler tam blok olan interventriküler septuma yayılım gösteren abse: Native aort kapak endokarditi

Kırkbeş yaşında erkek atriyoventriküler (AV) tam blok nedeniyle yatırıldı.Yapılan transtorasik ekokardiyografide aortik kapak küspislerde vejetasyon ve inter ventriküler septuma kadar yayılım gösteren ring absesi tespit edildi. Kan kültüründe metisilene dirençli staphylococcus hominis üredi. Tanı AV tam blok ve ring absesiyle komplike infektif endokardit düşünüldü.Hastaya ameliyat ve kalıcı pace maker planlandı.Ancak hasta ameliyatı beklerken exitus oldu.İnfektive endokarditli olgularda AV tam blok nadir görülen komplikasyonlarından biridir . İlk bulgu olarak AV tam blok ile hastaneye başvurması ise çok nadirdir. Bu yüksek riskli komplikasyon için erken tanı ve müdahale gerekir.

Native aortic valve infective endocarditis: Complete atrioventricular block as first sign of interventricular invasion of abscess

A 45-year-old man was emergently hospitalized with complete atrioventricular block (AV).Transthorasic echocardiogram showed infective endocarditis in aortic valve,vegetation on cuspis, complicated with ring abscess, and extending to Interventricular septum.Blood cultures were positive for staphylococcus hominis resistant to meticiline. The diagnosis was endocarditis that is complicated to abcess of aortic and complete atrioventricular block.Surgery and permanent pacemaker was plained during operative period.But the patient was extitus while waiting surgery. Infective endocarditis is one of the uncommon causes of complete AV block .To our knowledge, this is a rare case in which infective endocarditis was complicated by AV block as first sign complete AV block.Patients with endocarditis complicated by complete AV block are at high risk. Early investigation and consideration of early surgical intervention are needed.

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