Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses
Arq. bras. cardiol
;
81(4): 419-420, out. 2003. ilus
Artigo
em Inglês, Português
| LILACS, SES-SP
| ID: lil-349334
ABSTRACT
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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Aorta
/
Aspergilose
/
Aspergillus
/
Próteses Valvulares Cardíacas
/
Infecções Relacionadas à Prótese
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Ano de publicação:
2003
Tipo de documento:
Artigo
Instituição/País de afiliação:
Instituto Dante Pazzanese de Cardiologia/BR
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