positive with Staphylococcus aureus. Because of the uncertain diagnosis, we planned computerized tomography (CT) of the chest. Computerized tomography revealed a pseudoaneurysm of the ascending aorta (Fig. 4). The patient underwent emergency aortic surgery. Although, intensive management and antimicrobial therapy was given, she developed multiple organ failure and died in the postoperative peri...

Rev Esp Cardiol. 2010;63(5):612-20 615 left ventricle was seen with a severely depressed systolic function (EF, 30%). Treatment with furosemide, nitroglycerine and dopamine at diuretic doses was initiated. Four days after admission to the intensive care unit (ICU), fetal death was determined and expulsion took place, subsequently the placenta was extracted and curettage performed. On the tenth ...

It is surprising when a patient’s care-taker informed the doctor that their family member could suddenly speak in different accent. Here we reported case of young female with infective endocarditis (IE), who later developed foreign accent syndrome during her stay hospital ward. A plain computed tomography (CT) scan brain was performed and it showed coarse irregular calcific lesion left frontal ...

possible; unlike this case involving an active and growing left-sided lesion w3x. While this case demonstrated a successful outcome using a staged strategy, this may not have occurred if certain factors had changed (persistence of the bacteremia, worsening heart failure, evidence of new emboli, or aneurysmal growth). With the involvement of several consultants, closely monitored progress, and a...

A mycotic aneurysm is defined as the limited dilatation of an artery, secondary to an infection of the vascular wall. Spreading of the infection can be intravascular (bacteraemia and septic embolisms especially in infectious endocarditis) or extravascular (contiguous infectious spots, such as abscesses). The relationship between mycotic aneurysms and infectious endocarditis was described for th...

Despite earlier angiography, post-stenotic aneurysm of the aorta was an unexpected finding at operation in two patients with coarctation. One aneurysm was found in an intercostal artery in a 19 year old man and the other was a false aneurysm just distal to the coarctation site in a 7 year old boy. These aneurysms are fragile, apt to rupture, and difficult to diagnose preoperatively. Though loca...

INTRODUCTION Cases of true mycotic popliteal artery aneurysm are rare. Presentation is variable but invasive and non-invasive investigations collectively facilitate diagnosis and guide operative procedures. Definitive treatment generally utilizes surgical intervention with excision and reconstruction using autologous vein graft. Prolonged targeted antibiotic therapy is an important adjuvant. ...

Rev Esp Cardiol. 2010;63(5):612-20 615 left ventricle was seen with a severely depressed systolic function (EF, 30%). Treatment with furosemide, nitroglycerine and dopamine at diuretic doses was initiated. Four days after admission to the intensive care unit (ICU), fetal death was determined and expulsion took place, subsequently the placenta was extracted and curettage performed. On the tenth ...

Hepatic artery aneurysms occur infrequently and are often difficult to diagnose. Non-invasive procedures such as ultrasound or computer assisted tomography have not been considered suitable for definitive diagnosis and angiography is usually required. A patient is described in whom a mycotic hepatic artery aneurysm developed during the course of subacute bacterial endocarditis. The definitive d...

Minimizing operative risks for the surgical team in infectious patients is crucial. We report on a patient suffering from Hepatitis C undergoing re-operative aortic valve and ascending aorta replacement for aortic aneurysm and paravalvular leakage due to recurrent endocarditis of a Smeloff-Cutter aortic ball prosthesis. Preoperative multi-slice computed tomography and real-time three-dimensiona...