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[Complicated transcatheter aortic-valve endocarditis with abscess and pseudoaneurysm: Value of the ECG-gated multidetector computed tomography angiography]. / Endocardite infectieuse sur TAVI compliqué d'abcès et pseudo-anévrysme : apport du scanner cardiaque synchronisé à l'ECG.
Pichard, S; Gibault-Genty, G; Vienet-Legue, A; Baron, N; Convers-Domart, R; Georges, J L; Livarek, B.
Afiliación
  • Pichard S; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital Victor-Dupouy, centre hospitalier d'Argenteuil, 95100 Argenteuil, France.
  • Gibault-Genty G; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France. Electronic address: ggibaultgenty@ch-versailles.fr.
  • Vienet-Legue A; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
  • Baron N; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
  • Convers-Domart R; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
  • Georges JL; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
  • Livarek B; Service de cardiologie, unité de soins intensif cardiologiques et cardiologie interventionnelle, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le-Chesnay, France.
Ann Cardiol Angeiol (Paris) ; 66(5): 338-342, 2017 Nov.
Article en Fr | MEDLINE | ID: mdl-29050736
A 80-year-old man was admitted to catheterization room for an acute infero-lateral ST-elevation myocardial infarction (STEMI). Coronary angiography showed a thrombotic occlusion of the second left marginal branch, and normal other coronary arteries. The thrombo-embolic mechanism of the STEMI, and the infectious context in this patient who had had a transcatheter aortic valve implantation (TAVI) two months earlier, led us to suspect a bioprosthesis endocarditis. It was confirmed by transthoracic and transoesophageal echocardiography, which showed an aortic-mitral curtain abscess and aortic bioprosthesis vegetations, associated to Enterococcus faecalis bacteriemia. In order to specify the diagnosis, an ECG-gated multidetector CT angiography (MDCTA) had been performed. Additionally to echocardiographic findings, MDCTA showed a pseudo-aneurysm, sized 20 to 22mm, beginning from the outflow tract of the left ventricle to end on the antero-lateral face of the aorta. The patient was referred for emergency aortic bioprosthesis removal and replacement. Through this case, MDCTA showed its importance for the diagnosis and the prognostic evaluation of cardiac prosthesis endocarditis. MDCTA provided additional informations that echocardiography could not detect, because of artifacts caused by the prosthetic material and calcifications, frequent in elderly patients with comorbidities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Válvula Aórtica / Prótesis Valvulares Cardíacas / Angiografía / Infecciones Relacionadas con Prótesis / Infecciones por Bacterias Grampositivas / Enterococcus faecalis / Aneurisma Falso / Absceso / Electrocardiografía / Tomografía Computarizada Multidetector Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Aged80 / Humans / Male Idioma: Fr Revista: Ann Cardiol Angeiol (Paris) Año: 2017 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Válvula Aórtica / Prótesis Valvulares Cardíacas / Angiografía / Infecciones Relacionadas con Prótesis / Infecciones por Bacterias Grampositivas / Enterococcus faecalis / Aneurisma Falso / Absceso / Electrocardiografía / Tomografía Computarizada Multidetector Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Aged80 / Humans / Male Idioma: Fr Revista: Ann Cardiol Angeiol (Paris) Año: 2017 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia