Abstract
Background: The Australian Aboriginal population has a high burden of cardiac conditions predisposing patients to infective endocarditis. Pseudo-Aneurysms are a rare and potentially fatal complication of both prior valvular surgery and endocarditis.
Case summary: A 31-year-old female with a history of bicuspid aortic valve requiring valve replacement presented with meningoencephalitis. Transoesophageal echo and positive blood cultures for Staphylococcus aureus confirmed prosthetic valve endocarditis (PVE). Aortic root mycotic pseudo-Aneurysms developed during antimicrobial therapy and two large pseudo-Aneurysms remain post-redo valve, root and arch replacement.
Discussion: Complications associated with PVE are common, especially due to S. aureus. Redo cardiac surgery is high risk, percutaneous treatments may be technically difficult due to altered post-operative anatomy, and medication adherence issues and lack of healthcare engagement further compromise optimal care in this patient population.
Original language | English |
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Article number | ytab265 |
Pages (from-to) | 1-6 |
Journal | European Heart Journal - Case Reports |
Volume | 5 |
Issue number | 8 |
DOIs | |
Publication status | Published - Aug 2021 |