Case Presentation:
A 49 year old male with a history of type A aortic dissection
complicated by
severe aortic regurgitation underwent insertion of a valved aortic
conduit (Bentall
procedure) 9 years prior to admission. Six years later he developed
infective
endocarditis necessitating replacement of the graft and valve. The
patient did
well for an additional 3 years until he was re-admitted to the hospital
with fever.
Blood cultures grew group B Streptococcus and he was referred for
a
transesophageal echocardiogram .