Bentall-De Bono Reoperation Associated With Pseudoaneurysm and Infectious Endocarditis

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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
Sociedade Brasileira de Cardiologia
Autores
RABELATO, Janayna
ANTONIO, Iuri Betuel Gomes
DANTAS, Daniel Chagas
ALMEIDA, Antonio Flávio de
ISSA, Mario
Citação
INTERNATIONAL JOURNAL OF CARDIOVASCULAR SCIENCES, v.36, p.e20230082, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Abstract We present the case of a 55-year-old patient who underwent the Bentall-De Bono procedure with mechanical prosthesis in 2005 and was admitted to the emergency department in July 2020 with mixed shock. Complementary exams showed an abscess involving the prosthetic tube, two thirds of the aortic valve circumference and the left ventricle, with a neocavity of about 45 mm in diameter from the aortic sinus to the ascending aorta. The patient underwent surgical repair, with a new procedure using the Bentall-De Bono technique, now associated with coronary artery bypass grafting with a great saphenous vein graft between the aorta and the anterior descending artery. Culture of samples collected intraoperatively showed Staphylococcus epidermidis. The patient received antibiotic therapy for 30 days, evolving favorably, and is under regular outpatient follow-up.
Palavras-chave
Reoperation, Operative Surgical Procedures, Endocarditis
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