Open AccessMultimodality imaging in a late septic infection of aortic graft
Author(s) -
Monika Aržanauskaitė,
Antanas Jankauskas,
Reda Aržanauskienė,
Evaldas Keleras
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150396
Subject(s) - medicine , ascending aorta , aortic valve , infective endocarditis , endocarditis , mycotic aneurysm , cardiology , aneurysm , radiology , aorta
A 70-year-old diabetic female patient presented with fatigue, headaches, hallucinations and shivers following a history of sinusitis and ophthalmitis. She had an aortic surgery performed 7 years ago for a stenotic and regurgitant aortic valve with aneurysm of the ascending aorta. Work-up brain MRI revealed septic–embolic encephalitis. Multimodality cardiovascular imaging showed abnormal anterior wall of the ascending aortic graft with vegetation extending into the lumen. Blood culture was only positive for Aggregatibacter actinomycetemcomitans, an uncommon cause of infective endocarditis. During aortic surgery, the intraluminal vegetation with suppurated perigraft tissue was confirmed.