Successful Surgical Treatment of Aortic Valve Endocarditis with a Pseudoaneurysm of Ascending Aorta
10.4326/jjcvs.38.293
- VernacularTitle:上行大動脈に仮性瘤を伴った大動脈弁位感染性心内膜炎の1例
- Author:
Takehito Mishima
;
Kazuo Yamamoto
;
Masahiro Sato
;
Akifumi Uehara
;
Koki Takizawa
;
Tsutomu Sugimoto
;
Shinpei Yoshii
;
Shigetaka Kasuya
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(4):293-296
- CountryJapan
- Language:Japanese
-
Abstract:
A 62-year old man was referred to our hospital with endocarditis. Although the infection was improved by antibiotic therapy, he underwent surgery because of severe aortic and mitral valve regurgitation. Preoperative computed tomography revealed a pseudoaneurysm of 20 mm in diameter at the posterior wall of the ascending aorta. The non-coronary cusp was infected and there was a punched-out pseudoaneurysm at the ascending aorta adjacent to the sino-tubular junction. After resection of the aortic wall and the aortic valve, a modified Bentall operation with a composite graft and mitral valve plasty was performed. Postoperative whole body computed tomography revealed no other pseudoaneurysms. In case of endocarditis, we have to consider the possibility of aneurysm formation throughout the body.
