Download PDF
CC BY 4.0 · Aorta (Stamford) 2018; 06(06): 139-141
DOI: 10.1055/s-0039-1678554
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Case Report of an Infrequent Complication of Infective Endocarditis: The Complete Detachment from the Aorta of the Previous Vein Graft Anastomosis

Laura Varela Barca
1   Department of Cardiovascular Surgery, Ramon y Cajal Hospital, Madrid, Spain
,
Jose López Menéndez
1   Department of Cardiovascular Surgery, Ramon y Cajal Hospital, Madrid, Spain
,
Ana Redondo Palacios
1   Department of Cardiovascular Surgery, Ramon y Cajal Hospital, Madrid, Spain
,
Jorge Rodríguez-Roda Stuart
1   Department of Cardiovascular Surgery, Ramon y Cajal Hospital, Madrid, Spain
› Author Affiliations
Funding This research received no specific grant from any funding agency, commercial or not-for-profit sectors.
Further Information

Publication History

27 May 2017

05 November 2018

Publication Date:
24 April 2019 (online)

Also available at
  Permissions and Reprints

Abstract

The authors report an unusual complication of acute infective endocarditis found in a 70-year-old man with a previous history of two cardiac surgery procedures. During median sternotomy, a massive bleeding occurred. The bleeding was contained within the mediastinum and originated from the 10-year-old anastomosis of the saphenous vein to a composite graft, which was completely detached due to infective endocarditis of the aortic graft.

Keywords

infectious endocarditis - composite aortic graft - combined surgery - mediastinal collection
 

  • References

  • 1 Habib G, Lancellotti P, Antunes MJ. , et al; ESC Scientific Document Group. 2015 ESC guidelines for the management of infective endocarditis. Eur Heart J 2015; 36 (44) 3075-3128
    CrossrefPubMedSearch in Google Scholar
  • 2 Lee S, Chang B-C, Park HK. Surgical experience with infective endocarditis and aortic root abscess. Yonsei Med J 2014; 55 (05) 1253-1259
    CrossrefPubMedSearch in Google Scholar
  • 3 Ramos A, García-Montero C, López-Menéndez J. , et al. Endocarditis in patients with ascending aortic prosthetic graft: a case series from a national multicentre registry. Eur J Cardiothorac Surg 2016; 50 (06) 1149-1157
    CrossrefPubMedSearch in Google Scholar
  • 4 Apaydin AZ, Posacioglu H, Islamoglu F, Degirmenciler K, Durmaz I. Composite graft endocarditis: repair with a mechanical prosthesis. Tex Heart Inst J 2004; 31 (03) 306-308
    PubMedSearch in Google Scholar
  • 5 Cabrol C, Gandjbakhch I, Cham B. [Aneurysms of the ascending aorta; total replacement with reimplantation of the coronary arteries (author's transl)] [in French]. Nouv Presse Med 1978; 7 (05) 363-365
    PubMedSearch in Google Scholar
  • 6 Prendergast BD, Tornos P. Surgery for infective endocarditis: who and when?. Circulation 2010; 121 (09) 1141-1152
    CrossrefPubMedSearch in Google Scholar
  • 7 Yamazato A, Aoshima M, Nishimura N, Ban T. [A case report of emergency Bentall re-operation] [in Japanese]. Kyobu Geka 1989; 42 (09) 778-781
    PubMedSearch in Google Scholar
  • 8 Hussein N, Qamar S, Abid Q. Systemic aspergilloma post aortic root surgery following coronary artery stenting: diagnostic and management dilemma. BMJ Case Rep 2015; 2015: bcr2014207702
    Search in Google Scholar