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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
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Uncommon presentation of coronary sinus endocarditis
Alexander Marschall1,2, Freddy Delgado Calva1, David Martí Sánchez1,2
1Department of Cardiology, Central Defense Hospital, Madrid, Spain.
Echocardiography (Mount Kisco, N.Y.)
|November 10, 2021
Summary
A patient developed an abscess and cardiac involvement after femoropopliteal bypass surgery. Imaging revealed a right atrial mass and coronary sinus infiltration, indicating serious post-operative complications.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Femoropopliteal bypass surgery is a common procedure for peripheral artery disease.
- Post-operative complications can include infection and cardiac events.
- Complete atrioventricular block is a serious cardiac complication.
Observation:
- A 79-year-old male presented with fever and fatigue one month post-femoropopliteal bypass.
- Electrocardiogram (ECG) revealed complete atrioventricular block.
- Transthoracic echocardiography identified a right atrial mass and severe mitral regurgitation.
Findings:
- Transesophageal echocardiography demonstrated coronary sinus (CS) involvement.
- Computed tomography confirmed an abscess in the atrioventricular sulcus and CS infiltration.
- These findings suggest a disseminated infection originating from the surgical site.
Implications:
- This case highlights the potential for severe cardiac and infectious complications following vascular surgery.
- Early diagnosis and management are crucial for improving patient outcomes.
- Further research into preventative strategies and treatment protocols for such complications is warranted.
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