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https://doi.org/10.14300/mnnc.2026.00015

Clinical case of infective endocarditis in a patient with a bicuspid valve, aortic root aneurysm and aortic dissection

[Notes from practice]
Svetlana Alexandrova; Vladimir Pavlenko; Gulnara Eseneeva; Vladimir Alferov; Polina Gorbunova;

This item offers a clinical case of infective endocarditis resulting in severe valvular insufficiency and aortic dissection in a patient with a congenital aortic valve defect. The patient was hospitalized with a febrile fever. An examination revealed a congenital heart defect – a bicuspid aortic valve – complicated by developing infective endocarditis and aortic dissection. The patient in question underwent surgical intervention, which implied aortic valve replacement using the Full Root Replacement technique with a № 24 aortic allograft. The postoperative period featured complications, including cardiac arrhythmias such as atrial fibrillation and flutter, as well as nephropathy of mixed etiology. Despite the development of these severe complications, the clinical outcome was favorable.

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References:
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Keywords: aortic valve; infective endocarditis; aortic dissection