CTICasesTuberculous Aortic Root Endocarditis
Imaging findings
Chest radiograph demonstrates diffuse pulmonary edema. CT angiography reveals a soft tissue thickening and high-attenuation vegetation at the aortic root, specifically involving the non-coronary cusp, leading to severe aortic insufficiency, as well as a simple pericardial effusion.
Key takeaways
Severe acute cardiogenic pulmonary edema can be the primary clinical presentation of aortic root endocarditis. In cases with necrotizing granulomatous inflammation on surgical pathology, atypical pathogens such as Mycobacterium tuberculosis must be considered, as tuberculous endocarditis is a rare but highly destructive clinical entity.
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