Inflammatory syndrome after thoracic aortic endoprothesis implantation associated with cortico-surrenal adenoma

https://doi.org/10.4081/monaldi.2005.615

Authors

  • Francesco Giallauria Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Anna De Lorenzo Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Athanasio Manakos Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Francesco Pilerci Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Marianna Psaroudaki Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Alessandro De Cristofaro Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Rosa Lucci Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Domenico Del Forno Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.
  • Carlo Vigorito | vigorito@unina.it Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Immunologiche, Università degli Studi di Napoli “Federico II”, Napoli, Italy.

Abstract

We report a case of a 68-year-old patient, admitted with diagnosis of aneurysm of the descending thoracic aorta to the Department of Cardiac Surgery, where he underwent percutaneous endovascular application of 4 endoprostheses in the descending thoracic aorta. After antibiotic prophylaxis and hemodynamic stabilization, the patient was admitted to the Cardiac Rehabilitation Unit for the management of the of postoperative course and undergo a program of cardiac rehabilitation. Five days following admission and before starting physical training, the patient developed fever associated with neutrophil leukocytosis, strong activation of inflammatory markers and sideropenic anaemia, compatible with post-implantation inflammatory syndrome. Significant hypokaliemia also occurred. Further investigations showed left cortical-surrenal adenoma. The inflammatory state relapsed spontaneously and the patient was discharged with indication to undergo an endocrinologic consultation.

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Published
2005-03-30
Info
Issue
Section
Case Reports
Keywords:
cardiac rehabilitation, cortico-surrenal adenoma, post-implantation inflammatory syndrome, aortic aneurysm
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How to Cite
Giallauria, Francesco, Anna De Lorenzo, Athanasio Manakos, Francesco Pilerci, Marianna Psaroudaki, Alessandro De Cristofaro, Rosa Lucci, Domenico Del Forno, and Carlo Vigorito. 2005. “Inflammatory Syndrome After Thoracic Aortic Endoprothesis Implantation Associated With Cortico-Surrenal Adenoma”. Monaldi Archives for Chest Disease 64 (1). https://doi.org/10.4081/monaldi.2005.615.

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