A Case of Mitral Valve Regurgitation due to Infective Endocarditis with Mycotic Aneurysms of the Intracranial Artery and Superior Mesenteric Artery.
10.4326/jjcvs.31.71
- VernacularTitle:脳動脈りゅうと上腸間膜動脈りゅうを合併した感染性心内膜炎による僧帽弁閉鎖不全症の１治験例
- Author:
Naoki Konagai
;
Hiromi Yano
;
Mitsunori Maeda
;
Masanori Misaka
;
Masataka Matsumoto
;
Tatsuhiko Kudo
;
Shin Ishimaru
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(1):71-73
- CountryJapan
- Language:Japanese
-
Abstract:
A 31-year-old man underwent mitral valve replacement because of mitral regurgitation due to continued active infective endocarditis despite antibiotic therapy. Because cerebral mycotic aneurysm was suggested by preoperative IVDSA (Intravenous Digital Subtraction Angiography), cerebral angiography was performed on the first postoperative day. Cerebral mycotic aneurysm was detected in the middle cerebral artery and emergency aneurysm trapping was successfully performed. Although the patient had no neurologic deficit and postoperative cardiac function was stable, impending rupture of the mycotic aneurysm of the superior mesenteric artery occurred suddenly on the twelfth postoperative day. Endovascular treatment using the coil-embolization technique was immediately performed, and the postoperative course was uneventful.
