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

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
• 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
• 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
• 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
• 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
• 6 Prendergast BD, Tornos P. Surgery for infective endocarditis: who and when?. Circulation 2010; 121 (09) 1141-1152
• 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
• 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