Intramural Abscesses: A Sequela of Infective Endocarditis in a Patient with HIV

Infective Endocarditis (IE) is associated with significant morbidity and mortality, with in-hospital mortality having been reported as ranging from 19-26%. Commonly documented complications of IE include valvular and chordae destruction and resultant regurgitations, embolic events, peri-valvular abscesses, fistulae, and congestive heart failure. Herein, we report a rare case who presented with embolic myocardial infarction, prosthetic valve IE along with peri-aortic abscess, left ventricular aneurysm and multiple mural abscess with eventual rupture.