Work

Simultaneous occurrence of acute aortic dissection and acute infective endocarditis in a patient with chronic kidney disease

Year: 2025

Type: article

Abstract: Chronic kidney disease increases risk of cardiac complications. Concurrent aortic dissection and infective endocarditis is exceptionally rare. A 29-year-old male with hypertension and chronic kidney disease post-renal transplant presented with chest and back pain. Imaging revealed acute Stanford Type A aortic dissection. Emergency surgery also uncovered undiagnosed infective endocarditis. The patient underwent aortic root replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. He had an uneventful recovery without cardiac or infective complications. Physicians should maintain a high index of suspicion for concurrent cardiac complications in symptomatic chronic kidney disease patients, as prompt diagnosis and treatment is crucial for good outcomes in these rare cases.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf232

Authors: Majd Hanna, Nafiza Martini, M H D Ghazi Aboulkher, Ahmad Walid Izzat, Mohammad Bashar Izzat

Institution: Damascus University

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000