[Treatment of an intracerebral mycotic aneurysm with embolisation].
We report the case of a patient with streptococcal mitral endocarditis discovered following an ischaemic cerebrovascular accident. The clinical evolution was marked by the progressive development of a mycotic aneurysm. Surveillance was performed with repeated angio-MRI which provided an indication for embolisation. We demonstrate the value and the current quality of angio-MRI for the diagnosis of mycotic aneurysms, and the value of active management of these lesions which present a high risk of rupture and which are associated with a significant excess mortality. Embolisation can allow earlier cardiac surgery for haemodynamically unstable patients and for those whose neurological state until now contra-indicated intervention.
Batias
L
L
Service de réanimation medicale, CHU Tours, hôpital Bretonneau, 2, bd Tonnellé, 37044 Tours 1.
Cottier
J P
JP
Hommet
C
C
Fichet
J
J
Legras
A
A
D000785:Aneurysm, Infected / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000628:therapy*