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CC BY 4.0 · Aorta (Stamford) 2020; 08(03): 076-079
DOI: 10.1055/s-0040-1714715
Case Report

Aortic Valve Endocarditis with Anomalous Origin of the Right Coronary Artery and Unknown Infected Thrombus in the Dissected Descending Thoracic Aorta

Juan Caceres
1   University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan
2   Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan
,
Vikram Sood 
2   Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan
,
Linda Farhat
2   Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan
,
Bo Yang 
2   Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan
› Institutsangaben Funding None.
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Abstract

We report an intricate aortic root replacement in a young male patient suffering from native valve infective endocarditis due to Serratia marcescens. Further complicating the total root replacement, there was an unknown infected aortic thrombus and a concomitant anomalous right coronary artery with an intramural course. As a result of our more aggressive approach, we believe that we lowered the risk of recurrent infection of the bioprosthesis of the aortic root.

Keywords

aortic dissection - anomalous right coronary artery - endocarditis


Publikationsverlauf

Eingereicht: 14. September 2018

Angenommen: 24. Mai 2020

Artikel online veröffentlicht:
05. November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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  • References

  • 1 Morpeth S, Murdoch D, Cabell CH. , et al; International Collaboration on Endocarditis Prospective Cohort Study (ICE-PCS) Investigators. Non-HACEK gram-negative bacillus endocarditis. Ann Intern Med 2007; 147 (12) 829-835
    CrossrefPubMedSuche in Google Scholar
  • 2 Koyama S, Itatani K, Kyo S. et al. Aortic valve replacement and concomitant coronary artery bypass grafting in a patient with infective endocarditis and anomalous origin of the right coronary artery from the opposite sinus of valsalva. Ann Thorac Cardiovasc Surg 2013; 19 (05) 386-389
    CrossrefPubMedSuche in Google Scholar
  • 3 Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior aortic sinus: a potential cause of sudden death. Anatomic characterization and surgical treatment. J Thorac Cardiovasc Surg 1981; 82 (02) 297-300
    CrossrefPubMedSuche in Google Scholar