Clarke NS, Sengupta A, Miller A, Jessen ME, Murthy RA. Aspergillus aortitis & aortic valve endocarditis after coronary surgery.
J Card Surg 2019;
34:871-874. [PMID:
31233241 DOI:
10.1111/jocs.14125]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 05/12/2019] [Accepted: 05/28/2019] [Indexed: 11/30/2022]
Abstract
The authors report a case of Aspergillus aortitis and aortic valve endocarditis that developed after coronary artery bypass surgery resulting in recurrent, embolic, bilateral lower extremity ischemia. This necessitated multiple lower extremity embolectomies followed by redo-sternotomy, extensive annular debridement, root reconstruction with a modified Bentall technique, and hemiarch replacement. This case highlights the challenges in diagnosis and management of this rare disease entity and some of its devastating complications.
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