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Bloodstream infection is associated with subarachnoid hemorrhage and infectious intracranial aneurysm in left ventricular assist device
- Source :
- Perfusion. 35:117-120
- Publication Year :
- 2019
- Publisher :
- SAGE Publications, 2019.
-
Abstract
- Bloodstream infection is the leading cause of mortality in left ventricular assist device. Bloodstream infection is a risk factor for intracranial hemorrhage. We report three left ventricular assist device recipients who presented with bloodstream infection and developed subarachnoid hemorrhage. Case 1, a 37-year-old male with non-ischemic cardiomyopathy with HeartMate II, presented with confusion and found to have serratia bloodstream infection and left frontal lobe subarachnoid hemorrhage. Cerebral angiogram showed a right M3/M4 branch infectious intracranial aneurysm. He was treated with coil embolization and underwent device exchange. Case 2, a 41-year-old male with non-ischemic cardiomyopathy with HeartMate II presented with confusion and found to have methicillin-resistant staphylococcus aureus bloodstream infection and bilateral frontal convexity subarachnoid hemorrhage. Cerebral angiogram showed left M3 and left A3 infectious intracranial aneurysms, which were treated with antibiotics alone. Case 3, a 58-year-old female with ischemic cardiomyopathy with HeartMate II presented with fever, found to have candida albicans bloodstream infection and a parieto-occipital enhancing lesion concerning for cerebral abscess. Repeat computed tomography brain a week later showed a new right frontal subarachnoid hemorrhage. Cerebral angiogram showed a M4/M5 junction infectious intracranial aneurysm; patient was not a surgical candidate and was transitioned to hospice. This case series emphasizes that left ventricular assist device–associated subarachnoid hemorrhage may be caused by infectious intracranial aneurysms when acute bloodstream infections are present.
- Subjects :
- Adult
Male
medicine.medical_specialty
Subarachnoid hemorrhage
Heart Ventricles
medicine.medical_treatment
Cardiomyopathy
030204 cardiovascular system & hematology
Infectious intracranial aneurysm
03 medical and health sciences
0302 clinical medicine
Risk Factors
Sepsis
Internal medicine
Enhancing Lesion
medicine
Humans
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Risk factor
Abscess
Advanced and Specialized Nursing
Ischemic cardiomyopathy
business.industry
Intracranial Aneurysm
General Medicine
Middle Aged
Subarachnoid Hemorrhage
medicine.disease
Ventricular assist device
Cardiology
Heart-Assist Devices
Cardiology and Cardiovascular Medicine
business
Safety Research
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1477111X and 02676591
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Perfusion
- Accession number :
- edsair.doi.dedup.....049d5212c831357324abd433497ffffe