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KMID : 0390619980060010106
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Journal of Cardiovascular Ultrasound
1998 Volume.6 No. 1 p.106 ~ p.111
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A Case of an Aortic Embolism and Systemic Embolism in Infective Endocarditis
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Lee Kae-Won
Koh Gwan-Pyo
Kang Heung-Sun
Choue Chung-Whee
Kim Kwon-Sam
Song Jung-Sang
Bae Jong-Hoa
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Abstract
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In spite of advanced diagnostic technology and better antimicrobial therapy, infective endocarditis is relatively common, life-threatening infection. Heart failure and systemic embolism are the common and serious complications associated with the infective endocarditis. Because embolic event can result in irreversible organ dysfunction or death, prevention is a desirable goal. Indentification of patients who are in the high risk of embolism and who can be helped by early surgical intervention is very important. Echocardiography has been generally accepted as the technique of choice for noninvasive diagnosis of infective endocarditis because of its potential for direct visualization of endocarditis-induced lesions. We experienced a case of an aortic embolism and systemic embolism in infective endocarditis in 21 year old male patient. He admitted for abdominal pain and dark colored urine for 30 days. Diagnosis of infective endocarditis was made by clinical manifestation and echocardiography. Abdominal CT showing a low density areas in the spleen and the right kidney suggestive of a splenic infarction and a renal infarction. Aortography revealed dilatation of the bifurcation site of the aorta into common iliac artery and nonvisualization of left common iliac artery. Aortoiliac bypass surgery and splenectomy were done. After antibiotics and anticoagulation therapy, the patient was discharged relatively good condition.
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KEYWORD
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Infective endocarditis, Aortic embolism, Renal infarction, Splenic infarction
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