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Enterococcus faecalis endocarditis resulting in annular rupture: a case report
Ryaan El-Andari1, Jimmy Jh Kang1, Vinod K Manikala1
1Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AL, T6G 2B7, Canada.
Enterococcus faecalis infective endocarditis can cause rare complications like contained annular rupture. This case highlights a novel complication and its surgical management.
Area of Science:
- Cardiology
- Infectious Diseases
- Surgical Pathology
Background:
- Enterococcus faecalis is a common cause of infective endocarditis, associated with significant morbidity and mortality.
- Infective endocarditis due to E. faecalis typically presents with subacute symptoms and can lead to embolic events, abscesses, and pseudoaneurysms.
Observation:
- A 62-year-old male presented with symptoms consistent with E. faecalis infective endocarditis.
- The patient developed a contained annular rupture, a complication not previously reported in the literature for this condition.
Findings:
- The case details the clinical presentation and diagnostic findings of E. faecalis infective endocarditis with contained annular rupture.
- Surgical intervention was successfully performed to manage this unusual cardiac complication.
Implications:
- This case expands the known spectrum of complications associated with Enterococcus faecalis infective endocarditis.
- Highlights the importance of considering rare complications and the role of surgical management in complex endocarditis cases.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
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Aneurysm III: Interprofessional Care

