Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses
| Autor: | Amira Rose Costa Medeiros, Cely Saad Abboud, Paulo P Paulista, Meneghelo Zm, Auristela de Oliveira Ramos |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Aortic valve
Adult Male lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Antifungal Agents Prosthesis-Related Infections Fatal Outcome medicine.artery Internal medicine Mitral valve Ascending aorta medicine Endocarditis Aspergillosis Humans Thrombus Aorta Aortic Segment business.industry Cardiogenic shock medicine.disease Surgery medicine.anatomical_structure Embolism lcsh:RC666-701 Heart Valve Prosthesis cardiovascular system Cardiology Mitral Valve Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | Arquivos Brasileiros de Cardiologia, Vol 81, Iss 4, Pp 419-420 (2003) |
| ISSN: | 0066-782X |
| Popis: | We report the case of implantation of metallic mitral and aortic valve prostheses 6 months earlier, with subsequent multiple embolic episodes. The anatomicopathological examination of the thrombus of the third embolic episode was compatible with Aspergillus sp, which was treated with amphotericin B, followed by oral itraconazole. On the fourth embolism, vegetations were visualized in the ascending aorta on echocardiography and resonance imaging, and the patient underwent replacement of the aortic segment by a Haemashield tube and exploration of the aortic prosthesis, which was preserved, because no signs of endocarditis were found. Four months later, the patient died due to cardiogenic shock secondary to acute myocardial infarction caused by probable coronary embolism and partial dysfunction of the aortic prosthesis. |
| Databáze: | OpenAIRE |
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