Document Detail


Septic rupture of an atherosclerotic plaque of the ascending aorta.
MedLine Citation:
PMID:  22728897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infectious aortitis has become a rare disease thanks to the widespread use of antibiotics. We report the case of a patient who, 15 days after initiation of antibiotics for bacteraemia due to methicillin-resistant Staphylococcus aureus (MRSA), developed acute chest pain followed by haemodynamic instability. A tamponade due to a rupture into the pericardium of the ascending aorta at the site of an atherosclerotic plaque was diagnosed by an emergent chest contrasted computed tomography (CT). Intraoperatively, the septic nature of the rupture was suspected. All aortic atherosclerotic plaque samples grew MRSA. Postoperatively, the patient had an uneventful recovery after 12 weeks of antibiotic therapy. Transoesophageal echocardiography and chest CT were normal at 3 months after cessation of antibiotics. This case report permits the review of some characteristics of this disease, its physiopathology as well as the therapeutic implications.
Authors:
Jean Michel Maillet; Tonino Palombi; Jean-Louis Sablayrolles; Nicolas Bonnet
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-06-22
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  15     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-19     Completed Date:  2013-02-08     Revised Date:  2013-10-11    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  790-1     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Centre Cardiologique du Nord, Saint-Denis, France. jm.maillet@ccncardio.com
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Aortic Rupture / diagnosis,  microbiology*,  therapy
Aortitis / diagnosis,  microbiology*,  therapy
Atherosclerosis / diagnosis,  microbiology*,  therapy
Blood Vessel Prosthesis / adverse effects*
Cardiac Tamponade / etiology
Echocardiography, Transesophageal
Humans
Male
Methicillin-Resistant Staphylococcus aureus / isolation & purification*
Middle Aged
Plaque, Atherosclerotic
Prosthesis-Related Infections / diagnosis,  microbiology*,  therapy
Reoperation
Sepsis / diagnosis,  microbiology*,  therapy
Staphylococcal Infections / diagnosis,  microbiology*,  therapy
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents
Comments/Corrections

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