A Rare Case of Pseudoaneurysm of the Aortic Root Compressing
Case Report

A 37-year-old Hispanic male with a significant medical history of multiple cardiac morbidities including aortic and mitral valve disease due to a childhood history of rheumatic fever affecting the mitral valve, atrial fibrillation, atrial flutter, endocarditis, first degree heart block, hyperlipidemia, and hypertension presented to emergency department (ED) with generalized weakness and a near-syncopal episode. He reports intermittent left sided chest pain at rest that kept him up at night and prompted him to present to the ED. He denied palpitation, shortness of breath, nausea, vomiting, fever, and diaphoresis. He was recently admitted for methicillin-sensitive Staphylococcus aureus (MSSA) prosthetic valve endocarditis and had undergone a third reoperation for aortic and mitral valve replacement with aortic root/cusp abscess patching. The repair of the aortic root abscess was performed in close proximity to the left main coronary artery. Patient was discharged home two weeks ago with oxacillin and rifampin. He was compliant with the antibiotics and was doing well at home until this new presentation....