Successful outcome after massive bleeding in a heart transplant recipient with mycotic aortitis. Case report

Scand J Thorac Cardiovasc Surg. 1994;28(1):45-7. doi: 10.3109/14017439409098710.

Abstract

Sudden mediastinal haemorrhage one month after heart transplantation in an 18-year-old youth was found to originate from a rupture of the ascending aorta associated with mycotic aortitis. Aortic continuity was restored with a Dacron graft. Cultures from the resected vessel wall showed Candida albicans. The patient recovered, and 11 months later is well.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antifungal Agents / therapeutic use
  • Aortic Rupture* / etiology
  • Aortic Rupture* / surgery
  • Aortitis* / complications
  • Aortitis* / drug therapy
  • Aortitis* / etiology
  • Candidiasis* / complications
  • Candidiasis* / drug therapy
  • Candidiasis* / etiology
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology
  • Heart Transplantation*
  • Hemorrhage* / diagnosis
  • Hemorrhage* / etiology
  • Humans
  • Male
  • Pericardial Effusion / diagnosis
  • Pericardial Effusion / etiology
  • Postoperative Complications* / surgery

Substances

  • Antifungal Agents