Mycotic aneurysm in a digital artery: case report and literature review.
A mycotic aneurysm of the common digital artery at its junction with the palmar arch, extending into the ulnar proper digital artery of the index finger, is reported in a patient with endocarditis. A review of the English-language literature revealed no case of mycotic aneurysm in a digital artery. Diagnosis of the aneurysm was established noninvasively by ultrasound. Because this patient lacked a radial proper digital artery to the finger, the aneurysm was managed by excision and revascularization with a bypass graft from the long finger. Postoperative circulatory monitoring was facilitated by a pulse oximeter.
Berrettoni
B A
BA
Head of the Hand and Upper Extremity Clinic, Mt. Sinai Medical Center, Cleveland, OH 44106.
Seitz
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WH
D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000792:Angiography; D004696:Endocarditis / Q000150:complications*; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D008297:Male; D013997:Time Factors; D014463:Ultrasonography