DOI QR코드

DOI QR Code

An Aortic Root Abscess Presenting as a Suprasternal Pulsatile Mass

  • Raman, Karthik (Department of Cardiac Surgery, The Madras Medical Mission) ;
  • Sheriff, Ejaz Ahmed (Department of Cardiac Surgery, The Madras Medical Mission) ;
  • Jamesraj, Jacob (Department of Cardiac Surgery, The Madras Medical Mission) ;
  • Kumar, Ram (Department of Cardiology, The Madras Medical Mission)
  • Received : 2019.01.04
  • Accepted : 2019.03.07
  • Published : 2019.06.05

Abstract

Prosthetic valve endocarditis with aortic root abscess is a serious condition requiring urgent surgical intervention. We present a case caused by an infected Bentall mechanical valve conduit after cardiac surgery in a patient who was referred for a suprasternal pulsatile mass. The patient also had 1 episode of sentinel haemorrhage.

Keywords

References

  1. Anguera I, Miro JM, Cabell CH, et al. Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database. Am J Cardiol 2005;96:976-81. https://doi.org/10.1016/j.amjcard.2005.05.056
  2. McHenry MC, Longworth DL, Rehm SJ, et al. Infections of the cardiac suture line after left ventricular surgery. Am J Med 1988;85:292-300. https://doi.org/10.1016/0002-9343(88)90577-3
  3. Kim JY, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW. Long-term outcomes of homografts in the aortic valve and root position: a 20-year experience. Korean J Thorac Cardiovasc Surg 2016;49:258-63. https://doi.org/10.5090/kjtcs.2016.49.4.258
  4. Haydock D, Barratt-Boyes B, Macedo T, Kirklin JW, Blackstone E. Aortic valve replacement for active infectious endocarditis in 108 patients: a comparison of freehand allograft valves with mechanical prostheses and bioprostheses. J Thorac Cardiovasc Surg 1992;103:130-9. https://doi.org/10.1016/S0022-5223(19)35075-5
  5. Sabik JF, Lytle BW, Blackstone EH, Marullo AG, Pettersson GB, Cosgrove DM. Aortic root replacement with cryopreserved allograft for prosthetic valve endocarditis. Ann Thorac Surg 2002;74:650-9. https://doi.org/10.1016/S0003-4975(02)03779-7
  6. Leyh RG, Knobloch K, Hagl C, et al. Replacement of the aortic root for acute prosthetic valve endocarditis: prosthetic composite versus aortic allograft root replacement. J Thorac Cardiovasc Surg 2004;127:1416-20. https://doi.org/10.1016/j.jtcvs.2003.08.047
  7. Kejriwal NK, Paterson HS. Retrosternal fat pad for prevention of suppurative sternitis. Ann Thorac Surg 1997;63:1484-5. https://doi.org/10.1016/S0003-4975(97)00114-8