ABSTRACT
An aberrant right subclavian artery can be used in a variety of ways in complex aortic arch reconstructions, including reconstruction of an interrupted aortic arch. Here, we described the case of a 4-month-old female infant with a type B interrupted aortic arch, who underwent arch reconstruction using an aberrant right subclavian artery.
Subject(s)
Aorta, Thoracic/surgery , Anastomosis, Surgical/methods , Aneurysm , Aorta, Thoracic/abnormalities , Aortic Valve/abnormalities , Aortic Valve/surgery , Cardiovascular Abnormalities , Deglutition Disorders , Female , Heart Septal Defects, Ventricular/surgery , Humans , Infant , Subclavian Artery/abnormalities , Subclavian Artery/transplantationABSTRACT
Ascaris lumbricoides is the most common parasite affecting humans, especially in countries and regions with lower socio-economic conditions. A 2-year-old female child underwent right pulmonary angioplasty using cardiopulmonary bypass. Serious hyperthermia continued after surgery, and, therefore, a re-exploration of the mediastinum was performed because mediastinitis was suspected. No evidence of wound infection was revealed. Ascaris lumbricoides was subsequently isolated from her stool. The patient had no further hyperthermia throughout her hospitalization and was discharged uneventfully on post-operative day 12. The probable origin of the fever was an A. lumbricoides infection and ascariasis may cause the occurrence of serious hyperthermia during the perioperative period. Ascaris lumbricoides infection may, therefore, cause high-grade fever after cardiac surgery.
Subject(s)
Ascariasis/parasitology , Ascaris lumbricoides/isolation & purification , Cardiac Surgical Procedures/adverse effects , Fever/parasitology , Animals , Antinematodal Agents/therapeutic use , Ascariasis/complications , Ascariasis/diagnosis , Ascariasis/drug therapy , Child, Preschool , Feces/parasitology , Female , Fever/drug therapy , Humans , Pyrantel Pamoate/therapeutic use , Treatment OutcomeABSTRACT
Cardiobacterium hominis, a member of the HACEK group of organisms, is a rare cause of endocarditis. We report a case of infective endocarditis caused by C. hominis in a male child who had undergone right ventricular outflow tract (RVOT) reconstruction using an expanded polytetrafluoroethylene conduit for tetralogy of Fallot with pulmonary atresia. Two days before admission, the patient suffered from exertional shortness of breath. Right ventricular hypertension was confirmed and RVOT stenosis was suspected based on the echocardiography findings. A CT scan revealed vegetation above the cusp of the conduit. An emergency operation was performed to avoid a pulmonary embolism due to large friable vegetation. C. hominis was cultured from the blood and the vegetation, prompting a diagnosis of prosthetic valve endocarditis. The patient was discharged after a 6-week course of intravenous ceftriaxone therapy.
