{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:50:46Z","timestamp":1753890646601,"version":"3.41.2"},"reference-count":6,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However, the diverticulum of another part of the aorta has rarely been reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>We report a case of a 24-year-old male with a history of oral ulcer presented with recurrent hyperpyrexia and chest pain. Echocardiography and computed tomography showed the anomalous origin of the coronary arteries, aortic valve vegetations, and a bulge at the aortic root. The patient then received a Bentall procedure. The aorta and aortic valves were replaced by a valved conduit. The bulge with a normal arterial wall at the aortic root was considered to be a diverticulum. The infective endocarditis was verified as a secondary oral-derived streptococcal infection. The patient was discharged 15 days after surgery. Post-operative echocardiography had no positive findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our case report highlights the role of multimodal cardiovascular imaging for the diagnostic workup of rare disorders, such as the presence of a diverticulum in the aortic root in a patient with endocarditis and anomalous origin of the right coronary artery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2023.1036476","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T15:01:12Z","timestamp":1677855672000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report"],"prefix":"10.3389","volume":"10","author":[{"given":"Guoliang","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyue","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunshui","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weijie","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanlei","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongmei","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"B1","first-page":"590","article-title":"Verlagerung des osophagus durch eine abnorm verlaufende arteria subclavia dextra (arteria lusoria)","volume":"54","author":"Kommerell","year":"1936","journal-title":"Fortschr Geb Rontgenstr"},{"key":"B2","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.athoracsur.2019.01.062","article-title":"Double aortic arch with kommerell diverticulum","volume":"108","author":"Backer","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"270","DOI":"10.12968\/hmed.2008.69.5.29359","article-title":"General surgical manifestations of Marfan's syndrome","volume":"69","author":"Thomas","year":"2008","journal-title":"Br J Hosp Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1053\/j.ro.2011.11.011","article-title":"Cardiac aneurysms, pseudoaneurysms, and diverticula","volume":"47","author":"Restrepo","year":"2012","journal-title":"Semin Roentgenol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1097\/MCA.0000000000000183","article-title":"A bulging left ventricular wall in three-vessel coronary artery disease: true aneurysm, pseudoaneurysm, or diverticulum?","volume":"26","author":"Cao","year":"2015","journal-title":"Coronary Artery Disease"},{"key":"B6","first-page":"523","article-title":"A case report\u2013successful surgical treatment of prosthetic aortic valve detachment with enlargement of sinuses of Valsalva caused by the recurrence of aortitis","volume":"41","author":"Nakano","year":"1993","journal-title":"Nihon Kyobu Geka Gakkai Zasshi"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1036476\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T15:01:15Z","timestamp":1677855675000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1036476\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,3]]},"references-count":6,"alternative-id":["10.3389\/fcvm.2023.1036476"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1036476","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2023,3,3]]},"article-number":"1036476"}}