Abstract
Cardiac failure due to aortic insufficiency, caused by bacterial endocarditis, progress rapidly and sometimes develop into lethal cardiac failure. We could not save one case because of missing an opportunity for operation.
A 46-years-old man complained of dyspnea and remittent fever. Although blood cultures were negative, clinical signs and laboratory data suggested bacterial endocarditis. Two-dimentional echocardiography revealed masssive vegetation on the right coronary cusp of the aortic valve. On the day before operation, heart failure progressed abruptly. Emergency operation was attempted but proved fruitless.
The purpose of this report is to describe necessity of early operation for aortic insufficiency in bacterial endocarditis
