Abstract
Twenty specimens of heart with mycotic aneurysms at the aortic root were studied. In ten cases, mycotic aneurysm followed infection of the aortic valve. In one case, it developed following infection of an aortic jet lesion, and in nine patients, the aneurysm was at the seat of a prosthetic aortic valve. In seven of the 11 cases with a natural aortic valve, the valve was either unicuspid or bicuspid. A retrospective evaluation of the data on the clinical records of the 20 patients revealed that infective endocarditis or noncardiac postoperative sepsis was present in 11. The most frequently isolated microorganism was Staphylococcus aureus. Conduction disturbances were found in six patients, all of them with involvement of the atrioventricular node by the aneurysm. Perforation into intracardiac cavities was found in four, two into the right ventricular infundibulum and one each into each atrium. Pericardial tamponade was caused by bleeding from the aneurysm in two cases, and myocardial infarction was a probable consequence of coronary arterial compression by the aneurysm in two cases. Mycotic aneurysms of the aortic root, in spite of their being partially or completely healed of active infection, carry a high risk of the complicat...Continue Reading
References
May 1, 1975·Circulation·J MadisonJ E Edwards
Jun 1, 1975·The American Journal of Cardiology·C A CondeS Dack
Oct 1, 1975·Circulation·B H BulkleyR S Ross
Jul 1, 1976·Circulation·E N Arnett, W C Roberts
Nov 1, 1972·Circulation·K WangJ E Edwards
Jun 1, 1973·The Annals of Thoracic Surgery·E C HolmesR K Brawley
May 1, 1973·Vascular Surgery·G W Prian, E B Diethrich
Jun 1, 1970·The Annals of Thoracic Surgery·L Gonzalez-LavinD N Ross
Nov 1, 1984·British Heart Journal·J C CowanD S Reid
Mar 1, 1981·Circulation·P J EngelH Spitz
Oct 1, 1955·British Heart Journal·S ORAM, T EAST
Aug 1, 1960·The American Journal of Cardiology·J D BRISTOWW A HAUG
Jul 1, 1960·Diseases of the Chest·S A KIEFFER, P WINCHELL
Oct 1, 1949·British Heart Journal·A M JONES, F A LANGLEY
Citations
Aug 26, 2006·The American Journal of Surgical Pathology·James L HommeHenry D Tazelaar
Mar 19, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Carlos S RestrepoDaniel Vargas
Oct 29, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Ayman A Geneidy, Wolfgang J Weise
Jun 3, 2009·Journal of Forensic Sciences·Pauline Saint-MartinLakshmanan Sathyavagiswaran
Dec 11, 2013·La Revue de médecine interne·S RouxP Sève
Oct 27, 1997·Current Problems in Cardiology·J Lindsay
Sep 20, 2016·Case Reports in Medicine·Aimee E MooresTodd C Villines
Aug 1, 1996·Cardiology Clinics·P S Harris, C G Cobbs
Jun 19, 2004·Toxicologic Pathology·Patricia E LoscoFrancis M Cuss
Oct 16, 2016·Circulation·Walter R WilsonUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Oct 9, 2009·Autoimmunity·Merav LidarYehuda Shoenfeld
Jan 18, 2019·CVIR Endovascular·Aman WadhwaniAnirudh Mirakhur