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Brachial Mycotic Pseudoaneurysms Due to Prosthetic Valve Infective Endocarditis: A Case Report and Review of the Literature.
Stiru, Ovidiu; Geana, Roxana Carmen; Valeanu, Liana; Tulin, Adrian; Raducu, Laura; Iliescu, Vlad Anton.
Afiliación
  • Stiru O; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. ovidiu_stiru@yahoo.com.
  • Geana RC; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. geana.roxana22@gmail.com.
  • Valeanu L; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. liana.valeanu@yahoo.com.
  • Tulin A; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. raluk_2lin@yahoo.com.
  • Raducu L; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. raducu.laura@yahoo.com.
  • Iliescu VA; Department of Cardiovascular Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania. vladanton.iliescu@gmail.com.
Heart Surg Forum ; 23(5): E617-E620, 2020 Aug 28.
Article en En | MEDLINE | ID: mdl-32990588
Brachial mycotic pseudoaneurysms (BMPA) are a rare complication of infective endocarditis (IE), but potentially could be a limb-threatening condition. We present the case of a 38-year-old male referred to our department, complaining of the sudden onset of a painful pulsatile mass 5 x 10 cm in the right antecubital fossa that slowly progressed over time. Two years before this, he underwent aortic and mitral valve replacement with mechanical prosthetic valves and tricuspid annuloplasty for IE with methicillin-susceptible Staphylococcus aureus after a six-week course of intravenous antibiotherapy with oxacillin. Clinical examination of the right upper limb revealed a pulsatile and compressible mass with a normal temperature and without other clinical signs of inflammation. Pulse of the axillary artery, brachial and radial arteries were palpable. He was diagnosed by Doppler ultrasonography and digital subtraction angiography with BMPA. Furthermore, transesophageal echocardiography (TEE) revealed normal function of the aortic and mitral prosthetic valve with no signs of prosthetic valve endocarditis and no feature of congestive heart failure. Considering these clinical findings, surgical treatment was planned. He underwent re-section of the brachial pseudoaneurysm and arterial reconstruction. One year after the pseudoaneurysm resection, evolution was excellent. This manuscript presents this rare, uncommon complication after IE and also reviews the available surgical management strategies for this pathology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Infectado / Arteria Braquial / Prótesis Valvulares Cardíacas / Infecciones Relacionadas con Prótesis / Aneurisma Falso / Endocarditis Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Heart Surg Forum Asunto de la revista: CARDIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Infectado / Arteria Braquial / Prótesis Valvulares Cardíacas / Infecciones Relacionadas con Prótesis / Aneurisma Falso / Endocarditis Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Heart Surg Forum Asunto de la revista: CARDIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Estados Unidos