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Infective endocarditis complicated by mycotic aneurysm of a coronary artery with a perforated mitral valvular aneurysm
journal contribution
posted on 2023-05-17, 23:24 authored by Kazuaki Negishi, Ono, Y, Kurosawa, K, Takamatsu, H, Nakano, A, Hasegawa, A, Watanabe, H, Takanashi, S, Kurabayashi, MMycotic aneurysms are well-documented complications of infective endocarditis and occur frequently in the intracranial arteries. However, mycotic aneurysms of the coronary arteries are very rare, and there are few reports of the management of these lesions. The authors report the case of a 72-year-old woman with coagulase-negative staphylococcal endocarditis involving a perforated aortic valve, a perforated mitral valve aneurysm, and a large mycotic coronary artery aneurysm. After antimicrobial therapy, the patient underwent open-heart surgery with mitral and aortic valve replacement, coronary artery bypass, and resection of the mycotic coronary aneurysm. The authors present detailed serial echocardiograms of the mycotic coronary artery aneurysm, which was subsequently confirmed intraoperatively and pathologically.
History
Publication title
Journal of the American Society of EchocardiographyVolume
22Issue
5Pagination
542.e1-4ISSN
0894-7317Department/School
Menzies Institute for Medical ResearchPublisher
MosbyPlace of publication
Inc, 11830 Westline Industrial Dr, St Louis, USA, Mo, 63146-3318Repository Status
- Restricted