ArticleJournal of surgical case reports2025
Simultaneous occurrence of acute aortic dissection and acute infective endocarditis in a patient with chronic kidney disease.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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