Infective Endocarditis Complicated by Large Aortic Pseudoaneurysm after Cardiac...

• Author(s): Pelicano, NJ ; Branco, LM ; Agapito, AF ; Salomão, S ; Figueiredo, L ; Cunha, J ; Gomes da Cruz, A ; Gouveia, JL ; Roquette, J ; Quininha, J
• Date: 2006
• Persistent ID: http://hdl.handle.net/10400.17/34
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): Idoso; Falso Aneurisma; Ruptura Aórtica; Válvula Aórtica; Implante de Prótese Vascular; Aneurisma Coronário; Endocardite Bacteriana; Doenças das Válvulas Cardíacas; Implante de Prótese de Válvulas Cardíacas; Ventrículos Cardíacos; Reoperação; Seio Aórtico; Infecções por Estreptocócicos; Válvula Tricúspide; Estreptococos Viridans; HSM CAR; HSM CCT; HSM MED
• Document Type: Article
• Language: English

Description

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.