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Case Reports
. 2025 Apr 19;2025(4):rjaf232.
doi: 10.1093/jscr/rjaf232. eCollection 2025 Apr.

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

Majd Hanna  1   2 , Nafiza Martini  1   2 , M H D Ghazi Aboulkher  1   2 , Ahmad Walid Izzat  1 , Mohammad Bashar Izzat  1
Affiliations
Case Reports

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

Majd Hanna et al. J Surg Case Rep. .

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.

Keywords: aortic dissection; case report; chronic kidney disease; infective endocarditis; simultaneous occurrence.

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Conflict of interest statement

None declared.

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