Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200009 |
Resumo: | We report the case of implantation of metallic mitral and aortic valve prostheses 6 months earlier, with subsequent multiple embolic episodes. The anatomicopathological examination of the thrombus of the third embolic episode was compatible with Aspergillus sp, which was treated with amphotericin B, followed by oral itraconazole. On the fourth embolism, vegetations were visualized in the ascending aorta on echocardiography and resonance imaging, and the patient underwent replacement of the aortic segment by a Haemashield tube and exploration of the aortic prosthesis, which was preserved, because no signs of endocarditis were found. Four months later, the patient died due to cardiogenic shock secondary to acute myocardial infarction caused by probable coronary embolism and partial dysfunction of the aortic prosthesis. |
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Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prosthesesWe report the case of implantation of metallic mitral and aortic valve prostheses 6 months earlier, with subsequent multiple embolic episodes. The anatomicopathological examination of the thrombus of the third embolic episode was compatible with Aspergillus sp, which was treated with amphotericin B, followed by oral itraconazole. On the fourth embolism, vegetations were visualized in the ascending aorta on echocardiography and resonance imaging, and the patient underwent replacement of the aortic segment by a Haemashield tube and exploration of the aortic prosthesis, which was preserved, because no signs of endocarditis were found. Four months later, the patient died due to cardiogenic shock secondary to acute myocardial infarction caused by probable coronary embolism and partial dysfunction of the aortic prosthesis.Sociedade Brasileira de Cardiologia - SBC2003-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200009Arquivos Brasileiros de Cardiologia v.81 n.4 2003reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2003001200009info:eu-repo/semantics/openAccessRamos,Auristela de OliveiraMedeiros,Amira Rose CostaPaulista,Paulo ParedesAbboud,Cely SaadMeneghelo,Zilda Machadoeng2003-11-06T00:00:00Zoai:scielo:S0066-782X2003001200009Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2003-11-06T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
title |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
spellingShingle |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses Ramos,Auristela de Oliveira |
title_short |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
title_full |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
title_fullStr |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
title_full_unstemmed |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
title_sort |
Aspergillus infection in the ascending aorta of a patient with aortic and mitral valve prostheses |
author |
Ramos,Auristela de Oliveira |
author_facet |
Ramos,Auristela de Oliveira Medeiros,Amira Rose Costa Paulista,Paulo Paredes Abboud,Cely Saad Meneghelo,Zilda Machado |
author_role |
author |
author2 |
Medeiros,Amira Rose Costa Paulista,Paulo Paredes Abboud,Cely Saad Meneghelo,Zilda Machado |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Ramos,Auristela de Oliveira Medeiros,Amira Rose Costa Paulista,Paulo Paredes Abboud,Cely Saad Meneghelo,Zilda Machado |
description |
We report the case of implantation of metallic mitral and aortic valve prostheses 6 months earlier, with subsequent multiple embolic episodes. The anatomicopathological examination of the thrombus of the third embolic episode was compatible with Aspergillus sp, which was treated with amphotericin B, followed by oral itraconazole. On the fourth embolism, vegetations were visualized in the ascending aorta on echocardiography and resonance imaging, and the patient underwent replacement of the aortic segment by a Haemashield tube and exploration of the aortic prosthesis, which was preserved, because no signs of endocarditis were found. Four months later, the patient died due to cardiogenic shock secondary to acute myocardial infarction caused by probable coronary embolism and partial dysfunction of the aortic prosthesis. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001200009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2003001200009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.81 n.4 2003 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126552871534592 |