[Dehiscence of a composite aortic graft (Bono and Bentall technique) secondary to Acinetobacter endocarditis].
Acinetobacter sp. are gram-negative bacteria and usually resistant to multiple antibiotics. They are a customary cause of nosocomial infections, but are uncommon etiologic agents of endocarditis. We present a case of endocarditis caused by Acinetobacter iwoffi in a composite aortic graft with a St. Jude prosthetic valve, using the Bono and Bentall procedure, complicated with multiple graft dehiscenses causing first a peritube pseudoaneurysm and finally severe paraprosthetic valve regurgitation to the left ventricle which required emergency surgery.
Alvarez
J
J
Servicio de Cardiología, Hospital Regional Carlos Haya, Málaga.
Salas
J
J
Barakat
S
S
Conejo
L
L
Mancha
I
I
Vivancos
R
R
Alvarez de Cienfuegos
F
F
de Mora
M
M
González de Vega
N
N
Malpartida
F
F
D000151:Acinetobacter Infections; D017541:Aneurysm, False / Q000209:etiology; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D013529:Surgical Wound Dehiscence / Q000382:microbiology*