Mycotic aneurysm of the tibioperoneal trunk: a first manifestation of an infected endocarditis.
Infrapopliteal mycotic aneurysm resulting from endocarditis is rare, with only a few reported cases. We describe the case of a 28-year-old male patient who was suffering with pain and edema in the right leg. The ultrasound revealed an aneurysm of the right tibioperoneal trunk and a deep vein thrombosis (DVT). The patient was admitted and developed acute congestive heart failure, being diagnosed with possible endocarditis. A pseudo-aneurysm was revealed by arteriography. Aggressive antibiotic treatment was initiated, and open surgery confirmed a mycotic pseudo-aneurysm of the tibioperoneal trunk. To our knowledge, this is the 8th case reported of an infected aneurysm in this particular location.
Serviço de Cirurgia Vascular, Hospital Geral de Carapicuiba, Faculdade São Camilo. belczak@gmail.com
Sergio Quilici
SQ
Belczak
Igor Rafael
IR
Sincos
Marcelo Passos
MP
Teivelis
Carlos Alberto Sian
CA
de Oliveira
Hélio
H
Fragoso
Ricardo
R
Aun
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications*; D006801:Humans; D008297:Male; D016909:Tibial Arteries; D020246:Venous Thrombosis / Q000150:complications