Aortic Graft Infection as a Cause of Multiple Brain Infarcts

Brain embolism of cardiac origin is common in clinical practice. However, embolic brain infarcts due to aortic graft infection are very rare. We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft. She was presented with fever and acut...

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Main Authors: Vassiliki Tsirka, Jelena Maletic, Panagiotis Ioannidis, Dimitrios Karacostas
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2012/575169
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author Vassiliki Tsirka
Jelena Maletic
Panagiotis Ioannidis
Dimitrios Karacostas
author_facet Vassiliki Tsirka
Jelena Maletic
Panagiotis Ioannidis
Dimitrios Karacostas
author_sort Vassiliki Tsirka
collection DOAJ
description Brain embolism of cardiac origin is common in clinical practice. However, embolic brain infarcts due to aortic graft infection are very rare. We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft. She was presented with fever and acute onset neurological deficit, and she had a previous history of replacement of ascending aorta with a prosthetic graft, because of aortic aneurysm 2 years before her admission. The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves. Despite the severe clinical condition and the poor prognosis, because of the coexistence of cardioembolism and aortic graft infection, our patient had a good outcome with conservative treatment and she will be considered for surgical graft replacement after her full recovery.
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institution Kabale University
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publishDate 2012-01-01
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series Case Reports in Cardiology
spelling doaj-art-5683656db0204bc88f6899269d973ff02025-02-03T06:13:22ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/575169575169Aortic Graft Infection as a Cause of Multiple Brain InfarctsVassiliki Tsirka0Jelena Maletic1Panagiotis Ioannidis2Dimitrios Karacostas3B’ Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, GreeceB’ Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, GreeceB’ Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, GreeceB’ Neurological Department, AHEPA University Hospital, 54636 Thessaloniki, GreeceBrain embolism of cardiac origin is common in clinical practice. However, embolic brain infarcts due to aortic graft infection are very rare. We present a case of a 53-year-old woman with multiple brain infarcts, following an infection of ascending aortic graft. She was presented with fever and acute onset neurological deficit, and she had a previous history of replacement of ascending aorta with a prosthetic graft, because of aortic aneurysm 2 years before her admission. The patient had positive blood cultures and echocardiographic evidence of vegetation in the graft aortic joint, nearby the aortic valves. Despite the severe clinical condition and the poor prognosis, because of the coexistence of cardioembolism and aortic graft infection, our patient had a good outcome with conservative treatment and she will be considered for surgical graft replacement after her full recovery.http://dx.doi.org/10.1155/2012/575169
spellingShingle Vassiliki Tsirka
Jelena Maletic
Panagiotis Ioannidis
Dimitrios Karacostas
Aortic Graft Infection as a Cause of Multiple Brain Infarcts
Case Reports in Cardiology
title Aortic Graft Infection as a Cause of Multiple Brain Infarcts
title_full Aortic Graft Infection as a Cause of Multiple Brain Infarcts
title_fullStr Aortic Graft Infection as a Cause of Multiple Brain Infarcts
title_full_unstemmed Aortic Graft Infection as a Cause of Multiple Brain Infarcts
title_short Aortic Graft Infection as a Cause of Multiple Brain Infarcts
title_sort aortic graft infection as a cause of multiple brain infarcts
url http://dx.doi.org/10.1155/2012/575169
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AT panagiotisioannidis aorticgraftinfectionasacauseofmultiplebraininfarcts
AT dimitrioskaracostas aorticgraftinfectionasacauseofmultiplebraininfarcts