title: Mitral valve replacement in a patient with infective endocarditis and aneurysm of the cerebral artery: a case report.
abstract: OBJECTIVE
  Endocarditis can have profound and devastating neurological consequences, with the vast majority of these complications in patients with left-sided valvular disease. The approach to the acute management of stroke in children with infective endocarditis is limited by the inadequacy of published data on their clinical course and outcome.
  
  
  METHODS
  This case report presents a 12 year old girl with diagnosed endocarditis, complicated with intracranial hemorrhage, due to the rupture of an aneurysm of the peripheral branch medial cerebral artery and gradient therapeutic approach, with an excellent final result.
  
  
  CONCLUSIONS
  Congestive heart failure resulting from valvular insufficiency required mitral valve replacement, after cerebral aneurysm clipping.
authors.affiliation: Paediatric clinic, University Clinical Centre Sarajevo.
authors.forename: Senka
authors.initials: S
authors.lastname: Mesihović-Dinarević
authors.affiliation: Paediatric clinic, University Clinical Centre Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina. halimicm@gmail.com.
authors.forename: Mirza
authors.initials: M
authors.lastname: Halimić
authors.affiliation: Paediatric clinic, University Clinical Centre Sarajevo.
authors.forename: Zijo
authors.initials: Z
authors.lastname: Begić
authors.affiliation: Paediatric clinic, University Clinical Centre Sarajevo.
authors.forename: Almira
authors.initials: A
authors.lastname: Kadić
authors.affiliation: Clinic and Department of Cardiosurgery, University Clinical Centre Sarajevo.
authors.forename: Mirsad
authors.initials: M
authors.lastname: Kacila
authors.affiliation: Clinic and Department of Cardiosurgery, University Clinical Centre Sarajevo.
authors.forename: Edin
authors.initials: E
authors.lastname: Omerbašić
authors.affiliation: Clinic and Department of Cardiosurgery, University Clinical Centre Sarajevo.
authors.forename: Nusreta
authors.initials: N
authors.lastname: Hadžimuratović
authors.affiliation: Clinic and Department of Neurosurgery, University Clinical Centre Sarajevo.
authors.forename: Eldin
authors.initials: E
authors.lastname: Burazerović
mesh_terms: D000785:Aneurysm, Infected / Q000150:complications*; D017542:Aneurysm, Ruptured / Q000150:complications*; D002536:Cerebral Arteries / Q000473:pathology*; D002648:Child; D004697:Endocarditis, Bacterial / Q000150:complications*; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*