[Mycotic intracranial aneurysm in infective endocarditis of the mitral valve].
A 20-year-old woman suffering from mitral valve endocarditis due to streptococcus faecalis infection after blunt trauma and splenectomy complained of severe headache 18 days later. Cerebral angiography showed a left posterior artery aneurysm. A craniotomy was performed and the aneurysm could be successfully removed. The postoperative neurological status showed a mild transient right hemiparesis. The patient underwent mitral valve replacement with a St. Jude-Medical prosthesis 14 days after brain surgery. The patient was in stable neurologic and hemodynamic conditions at the time of discharge 3 weeks after valve replacement.
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D013293:Enterococcus faecalis; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D002532:Intracranial Aneurysm / Q000209:etiology* / Q000601:surgery; D008943:Mitral Valve / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D013161:Splenic Rupture / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications* / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000601:surgery
Mykotisches intrakranielles Aneurysma bei infektiöser Endokarditis der Mitralklappe.