Endarteritis infecciosa en conducto arterioso persistente y embolismo pulmonar séptico

Cruz-González, Ignacio; Martín-Herrero, Francisco; Sánchez, José López

doi:10.1157/13087066

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…However, a severe anaphylactic reaction with reversible ST-segment elevation was reported by Calco et al when SonoVue® was administered at a peak dose in DSE[12]. In another case report, reversible ST-segment elevation was reported after administration of Sonovue® but before starting DSE[13].…”

Section: Discussionmentioning

confidence: 99%

ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration

et al. 2013

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We report a case of an allergic reaction after the administration of an echocardiographic contrast agent which resulted in ST-segment elevation. Hypersensitivity and allergic reactions are known causes of acute cardiovascular events. However, only limited reports are available which suggest the exact mechanism of the occurrence of angina or myocardial infarction during severe allergic reactions. In our case, through invasive imaging (coronary angiography and IVUS) we have shown for the first time a transient coronary spasm in the absence of intra-coronary thrombus and only minimal neointimal hyperplasia.

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Section: Discussionmentioning

confidence: 99%

ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration

et al. 2013

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“…The incidence of patent ductus arteriosus (PDA) is approximately 0.02–0.04% in term infants[ 1 ] and 20–60% in preterm neonates. [ 2 ] PDA accounts for 6–11% of all congenital heart defects.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic management of patent ductus arteriosus in adults

Shinde¹,

Basantwani²,

Tendolkar³

2016

Ann Card Anaesth

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Patent ductus arteriosus (PDA) is an extracardiac left to right shunt. It should be corrected at an early age, but some patients may survive into adult life even without repair. Anesthetic management for adult patients with PDA poses many challenges for the anesthesiologist due to alterations in the cardiopulmonary physiology. We report successful anesthesia management of a case of an adult patient of PDA with moderate pulmonary artery hypertension with infective endarteritis (two large mobile vegetations at the pulmonary end of the duct).

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Ductus arteriosus‐associated infective endarteritis: Lessons from the past, future perspective

Callegari

Burkhardt

Relly

et al. 2019

Congenital Heart Disease

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Background Since routine clinical use of antibiotics as well as surgical and catheter‐based closure of a patent arterial duct (PDA), PDA‐associated infective endarteritis (PDA‐IE) is rare but can still occur when the ductus is still open or as it closes. Thus, clinicians should maintain a high index of concern for patients with unexplained fever. Methods We report on a PDA‐IE in a young infant shortly after potentially delayed obliteration of a PDA. We discuss this case report by reviewing the literature in regard to the pathogenesis (infection primary or secondary to PDA thrombus formation), clinical (new heart murmur) and diagnostic findings (transthoracic echocardiography, total body MRI, laboratory findings), and clinical outcome during mid‐term follow‐up after successful antibiotic treatment. Results A 7‐week‐old term infant with Staphylococcus aureus sepsis and a new heart murmur was diagnosed with PDA‐IE by transthoracic echocardiography at the pulmonary artery end of an obliterated PDA. Broad diagnostic workup excluded other reasons for sepsis. After 4 weeks of antibiotic treatment the vegetation reduced in size and the infant recovered completely. A review of all cases of PDA‐IE (in pediatric and adult patients) previously published was performed. Conclusion Nowadays, a PDA‐IE is an extremely rare, but still life‐threating condition that may even affect patients with a nonpatent ductus arteriosus shortly after its obliteration and should be considered as infective complication in preterms, neonates, and small infants. Therefore, in septic neonates with bacteremia, transthoracic echocardiography may be integrated in the diagnostic workup, especially by fever without source and clinical signs of IE such as a new heart murmur.

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Endarteritis infecciosa en conducto arterioso persistente y embolismo pulmonar séptico

Cited by 4 publications

References 7 publications

ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration

ST-segment elevation associated with allergic reaction to echocardiographic contrast agent administration

Anesthetic management of patent ductus arteriosus in adults

Ductus arteriosus‐associated infective endarteritis: Lessons from the past, future perspective

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