Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IRAN.
Brucellosis is an infectious disease that can involve the cardiovascular system. Brucella aortic valve endocarditis is an uncommon presentation of it with aortic valve regurgitation and heart failure. Diagnosis of brucella endocarditis of aortic valve is done in most cases with echocardiography. Successful management of this disease requires a combination of appropriate antibiotic treatment and surgical valve replacement, followed by a long duration of antibiotic therapy postoperatively (Doxycycline and Rifampicin).
We describe a 36-year-old man, with brucella endocarditis of aortic valve and paravalvular abscess, who was managed via aortic valve replacement using a mechanical prosthesis with good results.