Aspergillus aortitis & aortic valve endocarditis after coronary surgery

J Card Surg. 2019 Sep;34(9):871-874. doi: 10.1111/jocs.14125. Epub 2019 Jun 24.

Abstract

The authors report a case of Aspergillus aortitis and aortic valve endocarditis that developed after coronary artery bypass surgery resulting in recurrent, embolic, bilateral lower extremity ischemia. This necessitated multiple lower extremity embolectomies followed by redo-sternotomy, extensive annular debridement, root reconstruction with a modified Bentall technique, and hemiarch replacement. This case highlights the challenges in diagnosis and management of this rare disease entity and some of its devastating complications.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Antifungal Agents / therapeutic use
  • Aortic Valve / diagnostic imaging*
  • Aortic Valve / microbiology
  • Aortic Valve / surgery
  • Aortitis / diagnosis
  • Aortitis / etiology*
  • Aortitis / therapy
  • Aspergillosis / diagnosis
  • Aspergillosis / etiology*
  • Aspergillosis / therapy
  • Aspergillus / isolation & purification*
  • Coronary Artery Bypass / adverse effects*
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / etiology*
  • Endocarditis, Bacterial / therapy
  • Female
  • Humans
  • Middle Aged
  • Postoperative Complications*
  • Reoperation
  • Tomography, X-Ray Computed

Substances

  • Antifungal Agents