Left main artery dissection as a clinical sign of the aortic rupture following aortic valve replacement for fulminant aortic endocarditis.
Aortic valve endocarditis with perivalvular abscess formation remains a demanding condition and the results of the surgery are not optimal. Abscess localized in the aortic basis area can weaken the aortic wall, leading to further deterioration and rupture. The presented case allows us to recommend a maximal aggressive approach in patients, in whom the aortic wall seems to be rearranged due to abscess formation. Sometimes only the resection of the abscess hole and replacement of the entire ascending aorta offers a safe therapy option.
Szlapka
Michal
M
Heart Center Dresden, Fetscherstrasse 76, 01307 Dresden, Germany. michalszlapka@o2.pl
Joskowiak
Dominik
D
Matschke
Klaus
K
Tugtekin
Sems Malte
SM
D000038:Abscess / Q000382:microbiology / Q000601:surgery*; D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003646:Debridement; D004697:Endocarditis, Bacterial / Q000382:microbiology / Q000601:surgery*; D017809:Fatal Outcome; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D012086:Reoperation; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents