Pneumococcal aortic valve endocarditis causing aortopulmonary artery fistula

We report a case of an aortic-pulmonary artery fistula secondary to acute bacterial endocarditis and aortic root abscess formation. The patient presented with generalized symptoms and an initial pneumococcal pneumonia, then developed respiratory and cardiac failure necessitating ventilation and inot...

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Bibliographic Details
Published in:	The Annals of thoracic surgery Vol. 72; no. 5; pp. 1737 - 1738
Main Authors:	Endara, Santiago A., Corkeron, Michael A., Mutazz Diqer, Al, Neal, Angus J., Kang, Dong
Format:	Journal Article Conference Proceeding
Language:	English
Published:	New York, NY Elsevier Inc 01-11-2001 Elsevier Science
Subjects:	Adult Aorta, Thoracic Aortic Diseases - etiology Arterio-Arterial Fistula - etiology Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Endocarditis, Bacterial - complications Female Heart Valve Diseases - complications Heart Valve Diseases - microbiology Human bacterial diseases Humans Infectious diseases Medical sciences Pneumococcal Infections - complications Pulmonary Artery Tropical medicine 35 Pneumonia Aneurysm Cardiovascular disease Arterial disease Vascular disease Cardiac valvular disease Heart disease Streptococcal infection Endocardial disease Bacteria Micrococcales Aorta Complication Diagnosis Pneumococcal infection Human Lung disease Pathophysiology Respiratory disease Exploration Pulmonary artery Streptococcus pneumoniae Infection Case study Streptococcaceae Treatment Endocarditis Bacteriosis Aortic valve Aortic disease
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Summary:	We report a case of an aortic-pulmonary artery fistula secondary to acute bacterial endocarditis and aortic root abscess formation. The patient presented with generalized symptoms and an initial pneumococcal pneumonia, then developed respiratory and cardiac failure necessitating ventilation and inotropic agents. An echocardiogram showed a vegetation in the aortic valve, an abscess involving the aortic root, and suggested a fistula between the aorta and main pulmonary artery, which was confirmed at emergent operation. Despite a complicated early postoperative course the patient has made a full recovery.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(00)02412-7