title: Mycotic superior mesenteric pseudoaneurysm draining into a vein.
abstract: A 46-year-old man with a medical history notable only for schizophrenia was admitted to hospital with complaints of general fatigue and high fever. Transthoracic echocardiography on day 6 after admission demonstrated a large vegetation (17 mm) on the anterior leaflet of the mitral valve with mild regurgitation and mild aortic regurgitation. The patient also complained of abdominal pain. Abdominal computed tomography showed a remarkable enlargement of the superior mesenteric artery aneurysm (SMAA). An excision of the SMAA and double valve replacement was performed, and the patient was administered a six-week course of intravenous antibiotic therapy.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan. manabu@omiya.jichi.ac.jp
authors.forename: Manabu
authors.initials: M
authors.lastname: Shiraishi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ohki
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D015746:Abdominal Pain / Q000382:microbiology; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
chemical_list: D000900:Anti-Bacterial Agents