Acute aortic occlusion from a Candida fungus ball.
J Vasc Surg
; 54(5): 1475-7, 2011 Nov.
Article
em En
| MEDLINE
| ID: mdl-21723062
ABSTRACT
Fungal arterial infections are well-described entities resulting in direct invasion of the arterial wall or embolic occlusion of small and medium-sized arteries. However, acute occlusion of large vessels such as the aorta by fungal material is exceedingly rare. A 53-year-old woman presented with acute bilateral lower extremity ischemia. She had a history of fungal endocarditis requiring two prosthetic mitral valve replacements; the last episode was 7 months before the current admission. Imaging studies revealed that she had an acute infrarenal aortic occlusion, with evidence of multiple end-organ emboli. After transfemoral thromboembolectomy, perfusion was restored to her lower extremities with minor neurologic sequelae. She ultimately responded to intravenous antifungal agents.
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Base de dados:
MEDLINE
Assunto principal:
Aorta
/
Arteriopatias Oclusivas
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Candida albicans
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Candidíase
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Extremidade Inferior
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Embolia
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Endocardite
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Isquemia
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article