scholarly journals Late Complication of Infective Endocarditis: False Aneurism of Ascending Aorta

2021 ◽  
Vol 07 (11) ◽  
Author(s):  
Noureddine ATMANI ◽  
Keyword(s):  
Infective Endocarditis ◽  
False Aneurysm ◽  
Late Complication ◽  
Lateral Wall ◽  
Urgent Surgery ◽  
Life Threatening ◽  
Successful Removal ◽  
One Year ◽  
The Right ◽  
Culture Negative

False aneurysm is one of the life-threatening infective endocarditis (IE) complications. It can occur even long after a well-treated IE. We report the case a 43-year-old. Treated for a blood culture negative aortic valve endocarditis with 4 weeks antibiotic therapy. One year later, he presented a false aneurysm of the right lateral wall of the aorta responsible of right coronary artery compression. He underwent urgent surgery with a successful removal of the false aneurysm and a Bentall’s procedure.

Congenital anomaly of the right coronary leaflet complicated by infective endocarditis

1995 ◽  
Vol 5 (3) ◽  
pp. 275-277
Author(s):  
Avram Benatar ◽  
Ger Bennink ◽  
Henry van de Wal
Keyword(s):  
Congenital Anomaly ◽  
Infective Endocarditis ◽  
Left Ventricle ◽  
Congenital Defect ◽  
Life Threatening ◽  
Aortic Incompetence ◽  
The Right

AbstractA congenital defect of the right coronary leaflet (fenestration) is an unusually rare cause for aortic incompetence in childhood. We report an eight-year-old child with such an anomaly who presented with infective endocarditis of the left ventricle. The importance of excision of the vegetation prior to the occurrence of life-threatening embolic complications is discussed.

scholarly journals A Case Report of Infective Endocarditic Aortic Valve Abscess with Perforation in Infant

2020 ◽  
Author(s):  
Yanfeng Yang ◽  
Feifei Si ◽  
Mei Jin ◽  
Sheng Yang
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Structural Damage ◽  
Autologous Pericardial Patch ◽  
Life Threatening ◽  
One Year ◽  
Surgery Department ◽  
Short Time ◽  
To Receive

Abstract Background: Infective endocarditis (IE) is an uncommon but a potentially life-threatening infectious disease in children. The epidemiology of IE has changed in the past three to four decades and its incidence has been increasing recently. This case with atypical present including culture-negative and no-cardiovascular diseases got cardiovascular structural damage that deteriorate in short time. Case presentation: This case was an infant less than one year old without basic cardiovascular disease,and this case was admitted with Kawasaki disease early. His diagnosis was infective endocarditic aortic valve abscess with perforation. The patient received intravenous injection of cefotaxime for two days and piperacillin sulbactam and cefazolin for six days. On 9 th day, piperacillin sulbactam combining with vancomycin were used. On 10 th day, the patient was sent to cardiac surgery department to receive aortic valve repair. The operation is successful.The abscess cavity of the inferior aortic valve and the vegetations on the aortic valve were completely removed, the left coronary valve was removed, and the left coronary valve was locally widened by autologous pericardial patch. Conclusions: Infective Endocarditis in children may be difficult to diagnosis and manage.and the treatment are becoming a new challenge for conventional antibiotic therapy. Some IE require serial follow-up to determine potential need for subsequent cardiovascular surgery (CVS) intervention despite microbiologic cure with antimicrobial therapy.

scholarly journals Primary Fallopian Tube Carcinoma, A Rare Disease: Case Report and Mini Review of The Literature

2020 ◽  
pp. 1-4
Author(s):  
Pinelopi Gkogkou ◽  
Chasiotis Athanasios ◽  
Ioannis Thanasas ◽  
Pinelopi Gkogkou
Keyword(s):  
Histological Examination ◽  
Fallopian Tube ◽  
Lateral Wall ◽  
Current Data ◽  
Fallopian Tube Carcinoma ◽  
Surgical Specimen ◽  
Primary Fallopian Tube Carcinoma ◽  
Disease Case ◽  
One Year ◽  
The Right

The description of the case relates to a 48-year-old premenopausal patient, who was referred to the gynecologic outpatient clinic with ongoing and persistent vaginal bleeding, after undergoing a diagnostic endometrial curettage due to menorrhagias, whose histological examination revealed no pathologic findings. Ultrasound examination confirmed the presence of known multiple fibroids, with the largest lesion being estimated to occupy the right lateral wall of the uterus and extending towards the adnexa. The patient's surgical treatment was decided. During the operation, the presence of a solid mass that occupied the entire right fallopian tube, without the involvement of the ovary, was detected. Abdominal total hysterectomy and bilateral salpingo-oophorectomy were performed. The histological examination of the surgical specimen confirmed the diagnosis of fallopian tube carcinoma. The post-operative course of the patient was uncomplicated and adjuvant chemotherapy was initiated at an oncology center. One year later the general condition of the patient is normal, while she is regularly followed up by an oncologic medical team. In the present study, a brief overview of this rare entity is attempted on the basis of current data, concerning mainly the diagnostic and therapeutic approach, the appropriate application of which can contribute the best possible prognostic result.

scholarly journals Tenon’s Cyst Presenting as a Long-Term Complication following Incision Cataract Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Prabhakar Srinivasapuram Krishnacharya
Keyword(s):  
Cataract Surgery ◽  
Male Patient ◽  
Late Complication ◽  
Cyst Formation ◽  
Complete Excision ◽  
Scleral Tunnel ◽  
Extracapsular Cataract Surgery ◽  
Bleb Formation ◽  
One Year ◽  
The Right

Context.Tenon’s cyst or conjunctival cyst formation is not uncommon late complication of traditional extracapsular cataract surgery; however, few reports are available in the literature.Aims.Large cystic swellings were clinically diagnosed as filtering blebs at the cataract incision site in two patients. The purpose of the case presentation is to discuss the factors leading to cyst formation, visual loss and cyst recurrence after its excision.Patients and Methods. Case 1.Sixty-one-year-old male patient presented with a bleb at superior limbal region in the right eye, two years after cataract surgery.Case 2.A giant bleb was found at the same region in the right eye of a 65-year-old male patient, eight years after cataract surgery.Results.Complete excision of the cyst was performed with conjunctival autograft in the first patient and followed up for two years. No recurrence of the cyst was observed. Internal wound gaping was seen on gonioscopy in the second patient.Conclusions.Unstable scleral tunnel could explain bleb formation in both the patients. Complete bleb excision with conjunctival auto-graft resulted in closure of the defect with no bleb recurrence during two-year follow-up. Over-filtration causing hypotonic maculopathy was the reason for decreased vision in the second case.

False Aneurysm of Left Ventricle after Nonpenetrating Chest Trauma: About one Case

2020 ◽  
Author(s):  
Anas Loutfi
Keyword(s):  
Left Ventricle ◽  
Chest Trauma ◽  
Clinical Presentation ◽  
False Aneurysm ◽  
Lateral Wall ◽  
Left Ventricular ◽  
Exceptional Case ◽  
Penetrating Chest Trauma ◽  
Life Threatening ◽  
Chest Ct Scan

Pseudoaneurysms of the left ventricle (LV) are most often due to ischemic origin but traumatic etiology, though rare, is possible. The latter is most often secondary to a penetrating chest trauma but the occurrence of pseudoaneurysms after no penetrating chest trauma is possible. We report the exceptional case of our patient admitted with dyspnea on exertion and palpitations appeared in the consequences of a no penetrating chest trauma by blow of hoof of horse occurred 3 years ago making discover a pseudoaneurysm of the left ventricular lateral wall opened in the pulmonary infundibulum. This clinical presentation shows the importance of echocardiography or chest CT scan to detect early this life-threatening complication, the management of which is well codified.

scholarly journals Intracerebral and Subarachnoid Hemorrhage as a Result of Infective Endocarditis: A Case Report

2018 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
Alviani Februana Waluyani Putri ◽  
Jagaddhito Probokusumo ◽  
Wahyu Widjanarko ◽  
Ririn Faujiah
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Infective Endocarditis ◽  
Parietal Lobe ◽  
Neurological Complication ◽  
Neurological Complications ◽  
Severe Mitral Regurgitation ◽  
Prompt Treatment ◽  
Life Threatening ◽  
Sudden Decrease ◽  
The Right

Infective endocarditis (IE) may have devastating and life-threatening neurological complications. The incidence of intracranial hemorrhage (e.g. subdural hematoma, subarachnoid hemorrhage (SAH), and intracerebral hemorrhage(ICH)) is rare. A 39 years old male, came to emergency unitwith heart failure clinical features, accompanied with fever for 2 weeks, and apical systolic murmur found in the physical examination. In the second day of admission, the patient experienced a sudden decrease of conciousness, weakness of the right limbs, and slurred speech. CT scan examination showed left parietal lobe ICH with volume ± 20 cc, and SAH in left parietal lobe, basalsystern, to pontine systern. Echocardiography revealed AML flail with severe mitral regurgitation and vegetation in AML. Empirical parenteral antibiotics ceftriaxone and gentamicin were given. In the following day, the conciousness was increasing. Later, the blood culture examination showed growing of Staphylococcus saprophyticus.Intracranial hemorrhage may cause worseningin patient’s condition, and require withdrawal in anticoagulant therapy. Cardiac surgery should be delayed.Despite of its uncommon incidence, physician should be aware of the neurological complication of IE to recognize and do the prompt treatment of the disease.

scholarly journals Laboratory Diagnosis of Infective Endocarditis

2017 ◽  
Vol 55 (9) ◽  
pp. 2599-2608 ◽  
Author(s):  
Rachael M. Liesman ◽  
Bobbi S. Pritt ◽  
Joseph J. Maleszewski ◽  
Robin Patel
Keyword(s):  
Infective Endocarditis ◽  
Q Fever ◽  
Laboratory Diagnosis ◽  
Standard Test ◽  
Rrna Gene ◽  
Serological Testing ◽  
Content Type ◽  
Culture Techniques ◽  
Life Threatening ◽  
Culture Negative

ABSTRACTInfective endocarditis is life-threatening; identification of the underlying etiology informs optimized individual patient management. Changing epidemiology, advances in blood culture techniques, and new diagnostics guide the application of laboratory testing for diagnosis of endocarditis. Blood cultures remain the standard test for microbial diagnosis, with directed serological testing (i.e., Q fever serology,Bartonellaserology) in culture-negative cases. Histopathology and molecular diagnostics (e.g., 16S rRNA gene PCR/sequencing,Tropheryma whippleiPCR) may be applied to resected valves to aid in diagnosis. Herein, we summarize recent knowledge in this area and propose a microbiologic and pathological algorithm for endocarditis diagnosis.

scholarly journals Comparing Treatment Outcomes of Ampicillin-Sulbactam, Other β-Lactams, and Vancomycin in Blood Culture-Negative Infective Endocarditis

Antibiotics ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1476
Author(s):  
Se Ju Lee ◽  
Jung Ho Kim ◽  
Hi Jae Lee ◽  
Ki Hyun Lee ◽  
Eun Hwa Lee ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Blood Culture ◽  
Antibiotic Therapy ◽  
Cox Regression ◽  
Study Groups ◽  
Cox Regression Analysis ◽  
Severance Hospital ◽  
One Year ◽  
Culture Negative

Selection of proper antibiotics for blood culture-negative infective endocarditis (BCNIE) is difficult due to limited data on antibiotic regimens for BCNIE in existing literature. The aim of this study was to compare ampicillin-sulbactam, other β-lactams antibiotics, and vancomycin among patients with BCNIE to determine the proper antibiotic regimens. This retrospective study included adult patients with BCNIE admitted to Severance Hospital from November 2005 to August 2017. Patients were classified into three groups as, treated with ampicillin-sulbactam, other β-lactams, and vancomycin. The primary outcome was 1-year all-cause mortality. A total of 74 cases with BCNIE were enrolled in this study. There were no statistically significant differences in clinical characteristics between the three groups. One-year mortality did not significantly differ between the study groups either. Further, in-hospital mortality, 28-day mortality and overall mortality showed no difference. However, Cox-regression analysis showed nosocomial infective endocarditis as an independent risk factor and a protective effect of surgery on 1-year mortality. This study showed no clear difference in the outcomes of BCNIE as per the antibiotic therapy but suggested the beneficial effect of surgical treatment. With increasing global concern of antimicrobial resistance, it might be reasonable to select ampicillin-sulbactam-based antibiotic therapy while actively considering surgical treatment in BCNIE.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

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