Infective endocarditis complicated by large aortic pseudoaneurysm after cardiac surgery.
A 66-year-old female with Streptococcus viridans aortic and tricuspid infective endocarditis develops, during the course of antibiotic therapy, rupture of a right coronary sinus of Valsalva aneurysm to the right ventricle. An urgent cardiac surgery is preformed with implantation of a mechanical aortic prosthesis and a right coronary sinus plasty. Six months later a huge aortic pseudoaneurysm is diagnosed and she is submitted to a second uneventful surgery. A review is done for the significant features with discussion of diagnosis and therapy.
Pelicano
Nuno Jorge
NJ
Cardiology Department, Santa Marta Hospital, Lisbon, Portugal. nunopelicano@sapo.pt
Branco
Luísa Moura
LM
Agapito
Ana F
AF
Salomão
Spencer
S
Figueiredo
Luis
L
Cunha
Jorge
J
Gomes da Cruz
A
A
Gouveia
João Luis
JL
Roquette
José
J
Quininha
Jorge
J
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003323:Coronary Aneurysm / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D005260:Female; D006349:Heart Valve Diseases / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D012086:Reoperation; D012850:Sinus of Valsalva / Q000473:pathology / Q000601:surgery; D013290:Streptococcal Infections / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D014261:Tricuspid Valve / Q000382:microbiology / Q000601:surgery; D034363:Viridans Streptococci