Type A Aortic Dissection With Concurrent Aortic Valve Endocarditis, Subarachnoid Hemorrhage, and Disseminated Intravascular Coagulation

Elde, Stefan; Guenthart, Brandon A.; Biasi, Andreas de; Dalal, Alex R.; Casselman, Katharine G.; Hiesinger, William; Burton, Élan

doi:10.1016/j.jaccas.2021.05.008

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two cases of concurrent subarachnoid hemorrhage and acute type-A aortic dissection have been reported. 7,8 In both cases the patient was successfully treated with the emergency repair of the aortic dissection despite the risks of full heparinisation during cardiopulmonary bypass.…”

Section: Concurrent Intracerebral Hemorrhage and Acute Type-a Aorticmentioning

confidence: 99%

“…Concurrent intracerebral hemorrhage and acute type‐A aortic dissection is a very rare presentation and the optimal timing of surgery in these patients is unknown. Two cases of concurrent subarachnoid hemorrhage and acute type‐A aortic dissection have been reported 7,8 . In both cases the patient was successfully treated with the emergency repair of the aortic dissection despite the risks of full heparinisation during cardiopulmonary bypass.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Hartley

Adams

2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Acute type‐A aortic dissection is a rare but life‐threatening cardiac surgery emergency. Immediate operative management is important to give patients the best chance of survival. However, where an aortic dissection is complicated by a concurrent hemorrhagic stroke the risks of precipitating a catastrophic intracranial hemorrhage during surgery must be balanced against the risk of aortic rupture. The optimal timing of surgery in this rare presentation of type‐A aortic dissection is unknown. In this case report we describe a 67‐year‐old gentleman who initially presented with neurological symptoms, and was diagnosed with an acute intracerebral hemorrhage, but was subsequently also diagnosed with an acute type‐A aortic dissection. He proceeded to have a successful tissue aortic root replacement, total arch replacement with zone two frozen elephant trunk implantation 4 weeks after his initial diagnosis.

show abstract

Section: Concurrent Intracerebral Hemorrhage and Acute Type-a Aorticmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Hartley

Adams

2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

Streptococcus equi Subspecies zooepidemicus Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review

Franceschi,

Soffritti,

Mantovani

et al. 2024

Microorganisms

View full text Add to dashboard Cite

The present article presents a case report and literature review concerning the Streptococcus equi subspecies zooepidemicus (SEZ), a rare zoonotic pathogen in humans. The case involves a 62-year-old man with no prior heart disease, presenting with endocarditis, pneumonia, and meningitis following close contact with a horse. The patient underwent urgent aortic valve replacement due to severe valvular damage caused by the infection. Blood and cerebrospinal fluid cultures confirmed the presence of SEZ, and the patient was treated with a combination of antibiotics, followed by a successful step-down to oral therapy using linezolid. A review of 25 additional Streptococcus equi endocarditis cases highlights the rarity of the condition, its association with animal contact, and its tendency to cause multi-site infections, such as pneumonia and meningitis. Early diagnosis, appropriate antibiotic therapy, and, in severe cases, surgical intervention are critical for a favorable outcome. This report emphasizes the importance of recognizing zoonotic infections in at-risk populations and the potential need for public health surveillance in these scenarios.

show abstract

Experiencia en cirugía de aorta ascendente en un Centro Hospitalario de Tercer Nivel

Alemán-Espinoza,

Aguilar-Cota,

Robles-González

et al. 2024

Cirugía Cardiaca en México

View full text Add to dashboard Cite

Type A Aortic Dissection With Concurrent Aortic Valve Endocarditis, Subarachnoid Hemorrhage, and Disseminated Intravascular Coagulation

Cited by 3 publications

References 10 publications

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Streptococcus equi Subspecies zooepidemicus Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review

Experiencia en cirugía de aorta ascendente en un Centro Hospitalario de Tercer Nivel

Contact Info

Product

Resources

About