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Aortic graft infection as a cause of multiple brain infarcts.

Tsirka V, Maletic J, Ioannidis P, Karacostas D - Case Rep Cardiol (2012)

Bottom Line: Brain embolism of cardiac origin is common in clinical practice.We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft.The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves.

View Article: PubMed Central - PubMed

Affiliation: B' Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, Greece.

ABSTRACT
Brain embolism of cardiac origin is common in clinical practice. However, embolic brain infarcts due to aortic graft infection are very rare. We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft. She was presented with fever and acute onset neurological deficit, and she had a previous history of replacement of ascending aorta with a prosthetic graft, because of aortic aneurysm 2 years before her admission. The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves. Despite the severe clinical condition and the poor prognosis, because of the coexistence of cardioembolism and aortic graft infection, our patient had a good outcome with conservative treatment and she will be considered for surgical graft replacement after her full recovery.

No MeSH data available.


Related in: MedlinePlus

Thoracic CT with mediastinitis.
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fig5: Thoracic CT with mediastinitis.

Mentions: However, the patient had fluctuating fever and she exhibited a neurological deterioration after 1 week with decline of consciousness level and the brain CT demonstrated hemorrhagic transformation of the cerebral infarcts (Figure 4). The follow-up thoracic CT showed mediastinitis located around the graft region (Figure 5).


Aortic graft infection as a cause of multiple brain infarcts.

Tsirka V, Maletic J, Ioannidis P, Karacostas D - Case Rep Cardiol (2012)

Thoracic CT with mediastinitis.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4008087&req=5

fig5: Thoracic CT with mediastinitis.
Mentions: However, the patient had fluctuating fever and she exhibited a neurological deterioration after 1 week with decline of consciousness level and the brain CT demonstrated hemorrhagic transformation of the cerebral infarcts (Figure 4). The follow-up thoracic CT showed mediastinitis located around the graft region (Figure 5).

Bottom Line: Brain embolism of cardiac origin is common in clinical practice.We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft.The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves.

View Article: PubMed Central - PubMed

Affiliation: B' Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, Greece.

ABSTRACT
Brain embolism of cardiac origin is common in clinical practice. However, embolic brain infarcts due to aortic graft infection are very rare. We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft. She was presented with fever and acute onset neurological deficit, and she had a previous history of replacement of ascending aorta with a prosthetic graft, because of aortic aneurysm 2 years before her admission. The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves. Despite the severe clinical condition and the poor prognosis, because of the coexistence of cardioembolism and aortic graft infection, our patient had a good outcome with conservative treatment and she will be considered for surgical graft replacement after her full recovery.

No MeSH data available.


Related in: MedlinePlus