Successful outcome after massive bleeding in a heart transplant recipient with mycotic aortitis. Case report.
Sudden mediastinal haemorrhage one month after heart transplantation in an 18-year-old youth was found to originate from a rupture of the ascending aorta associated with mycotic aortitis. Aortic continuity was restored with a Dacron graft. Cultures from the resected vessel wall showed Candida albicans. The patient recovered, and 11 months later is well.
Berggren
H
H
Department of Thoracic and Cardiovascular Surgery, Sahlgrenska Hospital, Gothenburg, Sweden.
Berglin
E
E
Kjellman
U
U
Mantovani
V
V
Nilsson
B
B
D000293:Adolescent; D000935:Antifungal Agents / Q000627:therapeutic use; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery; D001025:Aortitis / Q000150:complications / Q000188:drug therapy / Q000209:etiology; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy / Q000209:etiology; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D016027:Heart Transplantation; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery
D000935:Antifungal Agents