{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T20:51:38Z","timestamp":1769633498166,"version":"3.49.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Aortitis is a rare condition that can be caused by inflammatory or infectious aetiologies. The clinical presentation of aortitis includes a heterogeneous range of symptoms and clinical signs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a 53-year-old man whose medical history included presence of a ventricular septal defect, a bicuspid aortic valve, and coarctation of the aorta. The coarctation was treated with percutaneous stent implantation. One and a half years later, he presented to our hospital with complaints of fatigue, night sweats, and shivers. Physical examination revealed a fever, tachycardia, and hypertension. Imaging studies showed no signs of endocarditis. Positron emission tomography\u2013computed tomography (PET\u2013CT) showed an increase in 18F-fluorodeoxyglucose uptake at the distal end of the stent in the descending aorta. Blood cultures revealed a Streptococcus gordonii and antibiotic treatment was adjusted accordingly. The patients\u2019 functional status improved quickly, the fever resolved, and the laboratory markers of inflammation returned to normal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Aortitis is extremely rare after stent implantation. Risk factors for aortitis include congenital vascular malformation and stent implantation. Computed tomography is currently the imaging study of choice for aortitis, while PET\u2013CT seems ideal for identification of stent infection. Mortality associated with infectious aortitis ranges from 21% to 44%, with generally higher mortality if managed with antibiotics alone. The differential diagnosis of stent infection should be taken into account in patients presenting with fever and chills after previous stent procedures.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa081","type":"journal-article","created":{"date-parts":[[2020,5,3]],"date-time":"2020-05-03T20:48:37Z","timestamp":1588538917000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Infectious stentitis after treatment of coarctation of the aorta: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9919-4199","authenticated-orcid":false,"given":"Heleen B","family":"van der Zwaan","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-6954","authenticated-orcid":false,"given":"Gertjan Tj","family":"Sieswerda","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregor J","family":"Krings","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Wilhelmina Children\u2019s Hospital, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiel","family":"Voskuil","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,3]]},"reference":[{"key":"2020062620243759300_ytaa081-B1","first-page":"e698","article-title":"2018 AHA\/ACC Guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"139","author":"Stout","year":"2019","journal-title":"Circulation"},{"key":"2020062620243759300_ytaa081-B2","doi-asserted-by":"crossref","first-page":"2915","DOI":"10.1093\/eurheartj\/ehq249","article-title":"ESC Guidelines for the management of grown-up congenital heart disease (new version 2010)","volume":"31","author":"Baumgartner","year":"2010","journal-title":"Eur Heart J"},{"key":"2020062620243759300_ytaa081-B3","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.jacc.2013.06.016","article-title":"Coarctation of the aorta: lifelong surveillance is mandatory following surgical repair","volume":"62","author":"Brown","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"2020062620243759300_ytaa081-B4","first-page":"1190","article-title":"Long-term mortality and cardiovascular burden for adult survivors of coarctation of the aorta","volume":"105","author":"Lee","year":"2019","journal-title":"Heart"},{"key":"2020062620243759300_ytaa081-B5","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1136\/heartjnl-2014-307035","article-title":"Late outcomes in adults with coarctation of the aorta","volume":"101","author":"Choudhary","year":"2015","journal-title":"Heart"},{"key":"2020062620243759300_ytaa081-B6","doi-asserted-by":"crossref","first-page":"3039","DOI":"10.1161\/CIRCULATIONAHA.107.760686","article-title":"Aortitis","volume":"117","author":"Gornik","year":"2008","journal-title":"Circulation"},{"key":"2020062620243759300_ytaa081-B7","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). 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