Brucellosis relapse causing prosthetic valve endocarditis and aortic root infective pseudoaneurysm

Ann Thorac Surg. 2011 Oct;92(4):e77-9. doi: 10.1016/j.athoracsur.2011.03.144.

Abstract

We report a previously treated case of brucellosis and aortic root replacement, which became complicated by prosthetic valve endocarditis and a massive aortic root pseudoaneurysm. Preoperative blood and intraoperative pseudoaneurysm wall cultures were positive for Brucella, and the patient was managed successfully with a combination of surgical and medical treatment. Brucella endocarditis is further discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology*
  • Aneurysm, False / surgery
  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / etiology*
  • Aneurysm, Infected / therapy
  • Anti-Bacterial Agents / therapeutic use
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology*
  • Aortic Aneurysm, Thoracic / surgery
  • Blood Vessel Prosthesis
  • Brucella / isolation & purification*
  • Brucellosis / complications*
  • Brucellosis / diagnosis
  • Brucellosis / microbiology
  • Device Removal / methods
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / etiology*
  • Endocarditis, Bacterial / therapy
  • Follow-Up Studies
  • Heart Valve Prosthesis / microbiology*
  • Humans
  • Male
  • Mitral Valve / surgery
  • Recurrence
  • Reoperation

Substances

  • Anti-Bacterial Agents