Galicia Clínica (Apr 2020)

Ruptured cerebral mycotic aneurysm, an unusual infective endocarditis presentation.

  • Tiago Alves,
  • Rita Ivo,
  • Marta Rebelo,
  • Eduarda Carmo

DOI
https://doi.org/10.22546/56/1859
Journal volume & issue
Vol. 81, no. 2
pp. 46 – 47

Abstract

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Although septic embolization associated with infective endocarditis is relatively frequent, mycotic cerebral aneurysms are a rare and potentially fatal complication. The authors report the case of a woman admitted with a cerebral haemorrhage due to mycotic aneurysm rupture, which led to a subacute infective endocarditis diagnosis. The patient underwent craniotomy with aneurysm excision and mitral valvuloplasty due to severe valvular insufficiency, with a favorable clinical outcome. The authors make a brief review, highlighting the challenge of the management of these patients, especially at surgical approach, which requires an individualized therapy strategy based on patient evolution.

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