Copyright © 2005, The European Society of Cardiology
Infective endocarditis complicated by large aortic pseudoaneurysm after cardiac surgery
aCardiology Department, Santa Marta Hospital – Lisbon, Portugal
bCardiothoracic Surgery Department, Santa Marta Hospital – Lisbon, Portugal
cInternal Medicine Department, Capuchos Hospital – Lisbon, Portugal
Received 29 December 2004; received in revised form 18 July 2005; accepted after revision 27 July 2005.
* Corresponding author. Hospital de Santa Marta – Lisbon, Department of Cardiology, Rua Professor Mira Fernandes Lote 1-1o Dto – 1900-386 Lisbon, Portugal. Tel.: +351218400039. nunopelicano{at}sapo.pt
| Abstract |
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A 66-year-old female with Streptococcus viridians 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.
Keywords: Sinus of Valsalva aneurysm; Thoracic aorta pseudoaneurysm; Infective endocarditis; Transthoracic echocardiography; Transesophageal echocardiography; Cardiac surgery