[Mycotic aortic aneurysm secondary to repeated endocarditis].
نویسندگان
چکیده
Doented 63 anos, sexo masculino, admitido por síndrome febril. Tinha uma história prévia de endocardite da válvula aórtica causada por streptococcus viridans aos 41 anos. Nesse internamento foram efectuados os diagnósticos adicionais de comunicação interventricular (CIV), estenose subaórtica e insuficiência aórtica (IA). Após curso de antibioterapia dirigida, foi submetido a cirurgia cardíaca, com reparação da CIV, resseção de membrana subaórtica e implantação de uma prótese aórtica mecânica. Cerca de um ano após esta intervenção, necessitou de substituição protésica por endocardite refractária provocada por staphylococcus epidermidis. Decorridos 14 anos foi submetido a nova cirurgia de substituição da prótese aórtica por abcesso periprotésico, com isolamento de staphylococcus aureus. O doente teve dois novos episódios de endocardite a streptococcus viridans, 5 e 7 anos depois, resolvidos com antibioterapia. No presente internamento foi diagnosticada endocardite de prótese a staphylococcus epidermidis. O ecocardiograma
منابع مشابه
Early Diagnosis of Nonaneurysmal Infectious Thoracic Aortitis Using Transesophageal Echocardiogram in a Patient with Purulent Meningitis
Infectious thoracic aortitis is a rare entity in the antibiotic era and usually appears in patients with prior aortic disease and/or associated infective endocarditis. Infected nonaneurysmal aorta will likely progress to mycotic aneurysm if left untreated. In most of the reports, infectious thoracic aortitis presents with a mycotic aneurysm. We report the case of a patient with a nonaneurysmal ...
متن کاملSpontaneous Rupture of a Superior Gluteal Artery Mycotic Aneurysm
Gluteal artery aneurysms are uncommon among all aneurysms and are usually a result of trauma. Streptococcus viridans bacteremia has been described in rare cases of extracranial mycotic aneurysms. Despite a variable clinical presentation, mycotic aneurysms of the superior gluteal artery could be the cause in patients with unexplained sciatica pain. Here we report a very rare case of spontaneous ...
متن کاملDelayed Infective Endocarditis with Mycotic Aneurysm Rupture below the Mechanical Valved Conduit after the Bentall Procedure.
UNLABELLED The Bentall procedure is the gold standard for treating aortic dissection complicated with valvular and ascending aorta disease. Recent results for this procedure have been excellent; nearly 100% of patients remain free of infective endocarditis in long-term follow-up. We report a case of delayed Streptococcus agalactiae infective endocarditis complicated by mycotic aneurysm in a man...
متن کاملCerebral hemorrhage from a mycotic aneurysm developing during appropriate antibiotic therapy.
A patient with bacterial endocarditis had headaches, cerebrospinal fluid pleocytosis and normal cerebral angiograms. Fifteen days later, while on appropriate antibiotic therapy, he developed an intracerebral hematoma due to a mycotic aneurysm. Mycotic aneurysm is an infrequent but serious complication of bacterial endocarditis. An aneurysm should be considered whenever a patient with bacterial ...
متن کامل[Mycotic aneurysm of the left ventricular free wall complicating aortic valve endocarditis].
We report the case of a 34-year-old man with aortic valve infective endocarditis caused by methicillin-resistant Staphylococcus aureus, complicated by an aortic annular abscess. A 23-mm St. Jude HP aortic mechanical prosthesis was implanted. The pre-discharge echocardiogram revealed a mycotic aneurysm of the basal posteroinferior wall, confirmed by cardiac magnetic resonance imaging, and it was...
متن کاملMyocardial Infarction and Aortic Root Mycotic Aneurysm Complicating Aortic Valve Endocarditis: Utility of Cardiac CT
Aortic mycotic aneurysms are a rare but life-threatening potential complication of infective endocarditis. Rapid deterioration of the vascular wall in highly focal areas makes these pseudoaneurysms particularly prone to rupture, resulting in uncontrolled aortic hemorrhage. While computed tomography angiography (CTA) is the imaging modality of choice for the evaluation of mycotic aneurysms, it i...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology
دوره 30 11 شماره
صفحات -
تاریخ انتشار 2011