Aortic root abscess complicated by fistulization and intracerebral hemorrhagic infarction

Pediatr Cardiol. 2003 Nov-Dec;24(6):576-80. doi: 10.1007/s00246-003-0403-9. Epub 2003 Jul 29.

Abstract

We report an unusual case of a 12-year-old male with aortic root abscess complicated by fistulization and intracerebral hemorrhagic infarction. Transesophageal echocardiography provided exact information about the location and dimension. Color-flow mapping demonstrated fistulous communication between the abscess and both the aorta and the left ventricle, causing severe diastolic regurgitation through the paravalvular leak. Pulmonary autograft aortic root replacement was performed with good result.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications*
  • Abscess / diagnosis
  • Abscess / microbiology
  • Abscess / therapy
  • Aorta / microbiology*
  • Aorta / surgery
  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery
  • Cerebral Infarction / complications*
  • Cerebral Infarction / diagnosis
  • Child
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications*
  • Endocarditis, Bacterial / microbiology
  • Endocarditis, Bacterial / therapy
  • Humans
  • Male
  • Staphylococcal Infections / complications*
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / therapy
  • Vascular Fistula / complications*
  • Vascular Fistula / therapy