Work

Mycotic superior mesenteric artery aneurysm with impending rupture due to infective endocarditis

Year: 2024

Type: article

Abstract: A 49-year-old woman with tachycardia was referred to our institution. Transthoracic echocardiography revealed severe mitral regurgitation, and surgery was planned. While awaiting surgery, she developed a fever. Transthoracic echocardiography and transesophageal echocardiography revealed vegetation on the mitral valve leaflet. Blood cultures were positive for Streptococcus anginosus . She was diagnosed with infective endocarditis, and antibiotics were administered. She experienced sudden abdominal pain 26 days after hospitalization. Contrast-enhanced computed tomography scan revealed a mycotic superior mesenteric artery aneurysm with impending rupture without intestinal ischemia, and aneurysm resection was performed. Mitral valve replacement was performed on postoperative day 10, with uneventful postoperative healing.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2024.101600

Authors: Satoshi Sakakibara, Takashi Yamauchi

Institution: Higashi Osaka City General Hospital

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250