scholarly journals A Rare Case of Aortoatrial Fistula from Streptococcal Endocarditis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Hammad Arshad ◽  
Meilin Young ◽  
Parth Rali
Keyword(s):  
Septic Shock ◽  
Respiratory Failure ◽  
Aortic Valve ◽  
Aortic Root ◽  
Rare Case ◽  
Multiorgan Failure ◽  
Healthy Male ◽  
Aortic Root Abscess ◽  
Hypoxic Respiratory Failure

We represent an unfortunate case of postinfluenza streptococcal endocarditis in a 34-year-old healthy male. He presented with hypoxic respiratory failure and was found to have mitral and aortic valve vegetation. Hospital course was complicated by the presence of an aortoatrial fistula from an aortic root abscess, persistent septic shock, and multiorgan failure.

Aortic Root Abscess Complicated by Fistulization in a Young Patient with Bicuspid Aortic Valve

2011 ◽  
Vol 28 (8) ◽  
pp. E160-E163
Author(s):  
Erkan İlhan ◽  
Şennur Ünal Dayı ◽  
Erdinç Hatipsoylu ◽  
Emrah Bozbeyoğlu ◽  
Şebnem Albeyoğlu ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Young Patient ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Aortic Root Abscess

Surgical treatment of infective endocarditis of the aortic valve complicated by aortic root abscess and false aneurysm

2018 ◽  
Vol 11 (5) ◽  
pp. 99
Author(s):  
G. I. Kim ◽  
D. V. Shmatov ◽  
M. S. Stolyarov ◽  
R. Yu. Kappushev ◽  
M. A. Novikov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Root ◽  
False Aneurysm ◽  
Aortic Root Abscess

scholarly journals A Rare Case of Vagococcus fluvialis Prosthetic Valve Endocarditis and Aortic Root Abscess

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Back Liam M ◽  
Magdy Joseph ◽  
Guiney Liam ◽  
Luo Roger ◽  
Hussein Akram ◽  
...  
Keyword(s):  
Aortic Root ◽  
Rare Case ◽  
Prosthetic Valve ◽  
Prosthetic Valve Endocarditis ◽  
Aortic Root Abscess

Aortic root enlargement to mitigate patient–prosthesis mismatch: do early adverse events justify reluctance?†

2019 ◽  
Vol 56 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Josephina Haunschild ◽  
Sven Scharnowski ◽  
Meinhard Mende ◽  
Konstantin von Aspern ◽  
Martin Misfeld ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Early Mortality ◽  
Surgical Aortic Valve Replacement ◽  
Patient Prosthesis Mismatch ◽  
The Mean ◽  
Aortic Root Enlargement

Abstract OBJECTIVES Concomitant aortic root enlargement (ARE) at the time of surgical aortic valve replacement can be performed to avoid patient–prosthesis mismatch, an important predictor of adverse long-term outcome. METHODS We performed a single-centre, retrospective analysis of 4120 patients receiving isolated aortic valve replacement, of whom 171 (4%) had concomitant ARE between January 2005 and December 2015. The analysis of postoperative outcome and early mortality was performed. Owing to inequality of the groups, patients were matched 1:1. RESULTS The mean age of all 4120 patients was 68.8 ± 10.5 years, and comorbidities were equally balanced after matching. The mean aortic cross-clamp time, cardiopulmonary bypass time and total operative time were prolonged by 19, 20 and 27 min in the ARE group, respectively. Early mortality was not statistically significantly different with 1.4% in the surgical aortic valve replacement and 1.8% in the ARE group. Postoperative complications were <5% in all matched 338 patients: bleeding (3% vs 3%), pericardial effusion (3.0% vs 4.2%), sternal instability (1.8% vs 0%) and sternal wound infection (3.0% vs 1.2%). A significant higher number of patients had respiratory failure after ARE (unmatched: 17.1% vs 9.9%, P < 0.001; matched: 18.3% vs 9.5%, P = 0.028). Factors independently associated with overall mortality were age [hazard ratio (HR) 1.71], chronic obstructive pulmonary disease (HR 1.47), diabetes (HR 1.82), atrial fibrillation (HR 2.14) and postoperative respiratory failure (HR 2.84). CONCLUSIONS ARE can be performed safely in experienced centres with no significant increase in the risk of early postoperative surgical complications and early mortality. However, the surgeon and the intensive care unit team should be aware of an increased risk for postoperative respiratory failure in ARE patients.

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