Perforated giant mycotic aneurysm of mitral valve in a drug-addicted young man: Rare complication of infective endocarditis

2017 ◽  
Vol 35 (1) ◽  
pp. 129-131
Author(s):  
Vincenzo Lavanco ◽  
Mirko Curzi ◽  
Enrico Giustiniano ◽  
Donatella Raspante ◽  
Daniela Di Lisi ◽  
...  
2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>


2021 ◽  
Vol 14 (9) ◽  
pp. e244191
Author(s):  
Gautam Sen ◽  
Susan Lewis

Infective endocarditis remains a dangerous condition and carries a mortality risk of approximately 20%. Splenic rupture is a rare complication of endocarditis. A 60-year-old woman with a history of atrial fibrillation, mitral valve repair and severe mitral regurgitation was admitted with a fall and abdominal pain. Emergency laparotomy was performed leading to a diagnosis of splenic rupture, for which splenectomy was performed. Four months later, the patient represented with symptoms of a transient ischaemic attack. Transthoracic and transoesophageal echocardiogram confirmed a large vegetation on the anterior mitral valve leaflet. Treatment with antibiotics and re-do mitral valve surgery was performed. The cause of the initial splenic rupture was felt to have been secondary to undiagnosed infective endocarditis. It is imperative to consider endocarditis in a case of spontaneous splenic rupture particularly in high-risk patients such as those with previous valve surgery.


2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Eddie Y. Liu ◽  
Jennifer Crawford ◽  
Haissam Haddad

We present a case of hemothorax due to ruptured mycotic aneurysm in three intercostal arteries in a 40-year-old male with methicillin-resistant Staphylococcus aureus infective endocarditis (IE) due to intravenous drug use. Microcoil embolization and thoracotomy successfully achieved hemostasis. Mycotic aneurysm is a rare complication of IE and is usually found in the intracranial vessels. Ruptured mycotic aneurysm in the intercostal arteries can be associated with IE and can present as acute hemothorax.


2012 ◽  
Vol 23 (3) ◽  
pp. e67-e68 ◽  
Author(s):  
Ji Hyeon Park ◽  
Hye Ryoun Jang ◽  
Jung Eun Lee ◽  
Wooseong Huh ◽  
Dae Joong Kim ◽  
...  

The manifestation of infective endocarditis often resembles vasculitis. Approximately one in five infective endocarditis cases are referred initially to a nephrologist because of abnormal renal function or abnormal urinalysis; therefore, infection should be ruled out before diagnosing vasculitis.A case involving a patient with infective endocarditis who presented with migrating skin lesions, renal infarction and multiple pseudoaneurysms is reported. Echocardiography revealed mitral valve vegetation and viridans streptococci were identified in peripheral blood cultures. Although mitral valve annuloplasty and an aneurysm ligation operation were performed with proper antibiotic treatment, the remaining mycotic aneurysm progressed and caused neurological complications. The patient was cured completely after reoperation.


2009 ◽  
Vol 36 (4) ◽  
pp. 783-784 ◽  
Author(s):  
Nicholas A. Charokopos ◽  
Christophoros N. Foroulis ◽  
Efthymia G. Rouska ◽  
Christos Papakonstantinou

2011 ◽  
Vol 17 (7) ◽  
pp. CQ3-CQ6
Author(s):  
Elżbieta Abramczuk ◽  
Hanna Heretyk-Grabowska ◽  
Maciej Grabowski ◽  
Marcin Demkow ◽  
Adam Witkowski ◽  
...  

2011 ◽  
Vol 17 (6) ◽  
pp. CQ1-CQ2
Author(s):  
Elzbieta Abramczuk ◽  
Hanna Heretyk-Grabowska ◽  
Maciej Grabowski ◽  
Marcin Demkow ◽  
Adam Witkowski ◽  
...  

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