Endovascular treatment for intracranial mycotic aneurysms prior to cardiac surgery.
The management of patients with infective endocarditis complicated by intracranial mycotic aneurysms is controversial. We present the case of a 21-year-old man who suffered from mitral regurgitation with small vegetations due to infective endocarditis. The problem was associated with a ruptured aneurysm on the right anterior cerebral artery and an unruptured aneurysm on the left middle cerebral artery. Endovascular embolization of these aneurysms and subsequent mitral valve repair led to a successful outcome.
Asai
Toshimasa
T
Department of Cardiothoracic Surgery, Nagoya University School of Medicine, Nagoya, Japan. asaitm@med.nagoya-u.ac.jp
Usui
Akihiko
A
Miyachi
Shigeru
S
Ueda
Yuichi
Y
D000328:Adult; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008943:Mitral Valve / Q000601:surgery