Left ventricular outflow tract (LVOT) vegetations and spontaneous obliteration of a large ruptured intracranial mycotic aneurysm in a case of infective endocarditis.
A 10-year-old girl with mild aortic regurgitation presented with cerebral infarction. Two-dimensional echocardiography showed vegetations on the septal wall of the left ventricular outflow tract without involvement of the aortic valve itself. After successful antibiotic treatment the patient developed an intra-cranial haemorrhage due to rupture of a large intracranial mycotic aneurysm. Consent for surgical treatment of the mycotic aneurysm was not obtained. Twelve months later repeat angiography showed that the aneurysm had undergone spontaneous obliteration.
Quah
B S
BS
Department of Paediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
Selladurai
B M
BM
Jayakumar
C R
CR
Mahendra Raj
S
S
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology*; D002544:Cerebral Infarction / Q000209:etiology; D002648:Child; D004697:Endocarditis, Bacterial / Q000150:complications*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012075:Remission, Spontaneous; D014694:Ventricular Outflow Obstruction / Q000150:complications*