Arzanauskaite Monika, Jankauskas Antanas, Arzanauskiene Reda, Keleras Evaldas
Radiology Department, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
Cardiology Department, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
BJR Case Rep. 2016 May 12;2(2):20150396. doi: 10.1259/bjrcr.20150396. eCollection 2016.
A 70-year-old diabetic female patient presented with fatigue, headaches, hallucinations and shivers following a history of sinusitis and ophthalmitis. She had an aortic surgery performed 7 years ago for a stenotic and regurgitant aortic valve with aneurysm of the ascending aorta. Work-up brain MRI revealed septic-embolic encephalitis. Multimodality cardiovascular imaging showed abnormal anterior wall of the ascending aortic graft with vegetation extending into the lumen. Blood culture was only positive for an uncommon cause of infective endocarditis. During aortic surgery, the intraluminal vegetation with suppurated perigraft tissue was confirmed.
一名70岁的糖尿病女性患者，在有鼻窦炎和眼炎病史后，出现疲劳、头痛、幻觉和寒战。她7年前因主动脉瓣狭窄和反流伴升主动脉瘤接受了主动脉手术。脑部MRI检查显示为脓毒性栓塞性脑炎。多模态心血管成像显示升主动脉移植物前壁异常，有赘生物延伸至管腔。血培养仅对一种罕见的感染性心内膜炎病因呈阳性。在主动脉手术中，证实了腔内赘生物伴有移植物周围组织化脓。
