[Development of mycotic aneurysms of the superior mesenteric artery after septic embolism].
Mycotic aneurysms of the aorta and the visceral arteries are life-threatening diseases, due to potential rupture and organ or limb ischemia. They occur in endocarditis, immunodeficiency, bacteremia and fungemia, and have a poor prognosis. We report on a case of a 54-year-old male patient suffering from abdominal angina after mitral valve replacement for septic mycotic endocarditis. In presence of a mycotic-embolic occlusion of the left popliteal artery and multiple septic organ infarctions a mycotic aneurysm of the superior mesenteric artery was found in abdominal spiral-CT. Based on sequential spiral-CT examinations, this case demonstrates the development of a septic aneurysm of the superior mesenteric artery.
Schmidt
F
F
Institut für Diagnostische Radiologie, Inselspital, Universitätsklinik Bern, 3010 Bern/Schweiz.
Dinkel
H P
HP
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000601:surgery; D000792:Angiography; D002177:Candidiasis / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging* / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation; D013159:Splenic Infarction / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed