Acute Aortic Insufficiency: a case report

A 46 years old patient, male, black, building worker, with a clinical condition of progressive dyspnea of recent onset and a previous history suggesting a breathing infection. The clinical exam was pointing, from the onset, to a global cardiac insufficiency with a left dominance. There was a considerable improvement on the symptoms with the medication started, having the patient shown occasionally for the three weeks he was admitted, short periods of dyspnea. He was febrile only in the last 5 days of admission, and the hemoculture performed in that period, only got the results after the obituary. The supplementary exams performed, namely the three first echocardiograms, were not conclusive regarding an eventual valvular pathology. Only the last echocardiography, performed with Doppler study, has given us the diagnosis of acute aortic insufficiency. The patient died on the following day due to a complication of the underlying disease – bacterial endocarditis.