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Intermittent Recovery of Severe Acute Aortic Regurgitation Arising From Infective Endocarditis. 2020

Christopher Cordeiro, and Siddhant Trehan, and Joseph N Heaton, and Prema Bezwada, and Samir Garyali
Internal Medicine, The Brooklyn Hospital Center, Brooklyn, USA.

This case reports a 47-year-old male with a history of IV drug abuse, presenting with one week of left lower back pain. During the initial treatment, the patient became hemodynamically unstable, requiring vasopressor support. Transthoracic echocardiography (TTE) revealed a 1 cm x 1 cm aortic valve vegetation with severe aortic regurgitation and potential perforation of the valve leaflet. After hemodynamic stability was achieved, the patient left against medical advice, refusing urgent valvular surgery. Subsequent follow-up unveiled repeated recurrence of symptoms and surgical repair of the aortic valve.

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