Search Results
Results 401 - 450 of 687
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Walsh D W - - 1997
Mycotic aneurysms of the abdominal aorta are potentially fatal but uncommon. We report the MRI and MRA features of an abdominal aortic mycotic aneurysm in a patient who presented with nonspecific low back pain. By delineating the saccular nature of the aneurysm and identifying the coexistence of vertebral enhancement, MRI ...
Olearchyk A S - - 1997
An 82-year-old woman complained of lightheadedness, dizziness, syncope, palpitations, and chest pains of 2 years' duration. Chest X-ray demonstrated cardiomegaly, while transesophageal echocardiography (TEE) disclosed an aneurysm of the right coronary sinus (RCS), 6 x 6 cm in diameter, filled with clots and obstructing the right ventricular (RV) outflow tract. ...
Wu Q - - 1997
Two extremely rare cases of dissecting aneurysm of the interventricular septum associated with aortic incompetence are reported. One was complicated with an aneurysm of the left coronary sinus of Valsalva, and the other may have been the result of trauma. Surgical operation involved resection or repair of the aneurysm and ...
Howe H S - - 1997
We describe a 27y old female systemic lupus erythematosus (SLE) patient with salmonella bacteraemia who presented with fever, back pain and an enlarging heart size. A two dimensional echocardiogram (2D Echo) showed a mass in the right atrium. Subsequent computer tomographic (CT) and magnetic resonance imaging (MRI) studies showed that ...
Cunha e Sá M - - 1997
Less than 10% of all aneurysms affecting the arterial cerebral circulation are mycotic in nature. They occur in the setting of bacterial endocarditis and are the cause of considerable morbidity and mortality of affected patients. In selected cases surgery may play a curative role in the treatment plan. These aneurysms ...
Carreras M - - 1997
We present a case of salmonella aortitis with necrosis of the arterial wall and its evolution to the formation of an abdominal aneurysm over a 6-day period. Computed tomography was performed before and after the development of a mycotic aneurysm. Presurgical aortography was also performed. The findings obtained give a ...
Illuminati G - - 1996
The case of an infectious aneurysm of the interosseous artery at the right forearm is reported, with presenting symptoms consisting in pain, loss of motor functions and paresthesias. The association of occupational trauma and hematogenous bacterial grafting were the possible etiologic agents. Diagnostic evaluation included ultrasound, Doppler study, CT-scan and ...
Senocak F - - 1996
Mycotic aneurysms occur from septic emboli in patients with infective endocarditis and may involve any artery, but frequently they are not detected before autopsy. The most common sites are the brain, abdominal aorta, sinus of Valsalva, ligated ductus arteriosus, and superior mesenteric, splenic, coronary, and pulmonary arteries. The authors report ...
Donald K - - 1996
The etiology of mycotic aneurysms is variable but most often includes streptococci, staphylococci, Salmonella, and Pseudomonas infections. Yersinia enterocolitica is an organism that has been infrequently associated with vascular infections. We report a case of two ruptured mycotic pseudoaneurysms occurring in the same patient in the superficial femoral artery and ...
Mamode N - - 1996
Six days after admission to hospital with Salmonella gastroenteritis, this patient presented with a critically ischaemic leg, having developed an iliac occlusion, and a subcutaneous Salmonella abscess in the anterior compartment of the leg. Critical limb ischaemia and abscess formation can be added to infective aortic aneurysm as vascular complications ...
Gupta A K - - 1996
Treatment of mycotic aortic aneurysm by excision and extraanatomic bypass is difficult to apply when the infectious process involves the visceral arteries. On the basis of experimental studies in our laboratory that demonstrated prolonged antistaphylococcal activity of rifampin-bonded, gelatin-impregnated Dacron grafts after implantation in the arterial circulation, this conduit was ...
Malcolm I - - 1996
A 50-year-old man with 'presyncope' is presented. He was found to have an aneurysm of the right coronary sinus of Valsalva and an aneurysm of the noncoronary sinus. Neither aneurysm had ruptured. It is postulated that the patient's symptoms were related to partial obstruction of the right ventricle. Other potential ...
Joffe I I - - 1996
Mycotic aneurysms of the aorta are prone to rupture. Thus rapid and accurate diagnosis is essential so that surgical repair can be undertaken. We report a case of mycotic aortic aneurysm caused by mitral valve endocarditis. The aneurysm situated at the junction of the thoracoabdominal aorta was readily detected by ...
Lai C P - - 1996
A 68-year-old diabetic male who suffered from recurrent severe lumbago and high fever was found to have mycotic abdominal aneurysm. His symptoms did not improve after maximum-dose antibiotic therapy. Bloody pleural effusion on the left side was noticed hours before he expired. Klebsiella pneumoniae alone was isolated from blood from ...
Kautzner J - - 1996
To assess the feasibility of 2 noninvasive methods for arterial baroreflex sensitivity testing based on phase IV of the Valsalva maneuver, the performance of a simple arterial baroreflex sensitivity index compared with a slope method and reproducibility of repeated measurements of either parameter were evaluated in 36 subjects without structural ...
Stöllberger C - - 1996
BACKGROUND: Aneurysm of the ascending aorta is rarely reported as the source of emboli. We report a patient with a minor stroke in whom a saccular aneurysm of the left sinus of Valsalva was diagnosed as the presumed source of cerebral embolism. CASE DESCRIPTION: A 49-year-old right-handed woman presented 10 ...
Marty-Ané C - - 1996
The principles of treatment of mycotic aortic aneurysms are not well established and the optimal method of revascularization--extra-anatomic bypass or in situ grafting--is still debated. Infection of the juxtarenal or suprarenal aorta poses an additional challenge in management because of the requirement for visceral revascularization. The case of a 73-year-old ...
Nakagawa A - - 1996
Chronic active Epstein-Barr virus infection (CAEBV) is a nonfamilial syndrome that shows a specific immunodeficiency for the Epstein-Barr virus (EBV). Prolonged fever, hepatosplenomegaly, lymphadenopathy, and liver dysfunction were seen in CAEBV, but cardiac complications are rare. An autopsy case of CAEBV with giant coronary aneurysms and aortic aneurysms is reported. ...
Knosalla C - - 1996
BACKGROUND: Although mycotic aneurysms are rare in this age of antibiotics, they nevertheless represent life-threatening lesions of the aortic wall because of their high incidence of rupture and significantly high rate of recurrence. METHODS: Between March 1988 and August 1994, cryopreserved allograft material was used to treat 8 patients (mean ...
Sakanoue Y - - 1996
We present a 74-year-old female in whom a systolic murmur became trans-systolic during the Valsalva maneuver. The patient had had stable effort angina for 20 years and coronary angiography revealed complete obstruction of the left anterior descending artery in addition to other atherosclerotic lesions. Left ventriculography showed a small apical ...
Lim S T - - 1996
Ruptured congenital aneurysms of the noncoronary aortic sinus shunting into both the right atrium and right ventricle are extremely rare. We present here such an anomaly in a 40-year-old man, focusing on the diagnostic reliability of echocardiography and the unusual angiographic features of the aortic sinus aneurysm in this patient.
Kalimanovska-Ostrić D - - 1996
We report the case of a congenital aneurysm of the right sinus of Valsalva dissecting into the interventricular septum in a 21-year-old man. This condition was diagnosed by echocardiography and magnetic resonance imaging. In particular, transthoracic and transesophageal color-coded Doppler echocardiography showed that there was no communication between the aneurysm ...
Lee M H - - 1996
The purpose of this study was to review the computed tomography (CT) appearance of mycotic aneurysm of the aorta caused by Salmonella infection. Eight patients were suggested to have mycotic aneurysm of the aorta by clinical presentation of fever, abdominal or back pain, leukocytosis, and pulsatile abdominal mass in addition ...
Tatebe S - - 1996
Mycotic aneurysms are rarely caused by Klebsiella species. We describe a male patient with diabetes mellitus and alcoholism who developed a mycotic aneurysm of the right internal iliac artery complicated by the formation of a false aneurysm. Klebsiella pneumoniae was cultured from arterial blood. An extra-anatomic bypass (left external iliac ...
Messa C A CA - - 1995
Mycotic aortic aneurysm continues to present challenging and difficult management issues with a significant morbidity and mortality. The offending organism in the etiology of this aneurysm can be variable and unusual. The first report of two mycotic aortic aneurysms caused by Clostridium septicum in the same patient is described here. ...
van Son J A - - 1995
Five hearts with ruptured congenital sinus of Valsalva aneurysm were studied. In 3 hearts of Caucasian patients, the sinus of Valsalva aneurysms were located in the immediate vicinity of the commissure between the noncoronary and right aortic cusps with rupture from the noncoronary sinus to the right atrium (n = ...
Basaran Y - - 1995
In this report we describe a case of a right coronary sinus of Valsalva aneurysm dissecting into the interventricular septum with spontaneous rupture into the left ventricle. Sufficient information was provided by echocardiography, cardiac catheterization, and aortography to confirm the diagnosis. Surgical findings were in complete accordance with cross-sectional and ...
Naik D K - - 1995
Mycotic aneurysms of the extracranial carotid arteries are rare, with only 27 cases reported in the English literature. The causative organism is most frequently Staphylococcus but infections due to Streptococcus, Salmonella and Klebsiella have been reported. Escherichia coli has been reported as the causative organism in three cases. Mycotic aneurysms ...
Saliou C - - 1995
We report the case of a 32-year-old man with a mycotic aneurysm of the left subclavian artery. This patient had immunosuppression caused by chemotherapy administered for treatment of leukemia. This aneurysm was revealed by two episodes of hemoptysis caused by a lung parenchyma fistulization. The patient was treated successfully by ...
Fukai I - - 1995
A 58-year-old man presenting with solitary aneurysm of a peripheral pulmonary artery was treated by left lower lobectomy. Histologically, the aneurysmal wall showed medial hypertrophy with the loss of smooth muscle fibers, without evidence of a mycotic process or inflammatory exudate. The aneurysm appeared to be congenital in origin.
Lin B H - - 1995
An intracranial mycotic aneurysm developed in a 35-year-old woman with endocarditis, caused by Cardiobacterium hominis, around a prosthetic valve. This type of aneurysm is a rare, life-threatening entity, and C. hominis is extremely uncommon as the causative agent. The pathogenesis and monitoring of intracranial mycotic aneurysm are discussed.
Missault L - - 1995
Before the advent of modern techniques, diagnosing unruptured sinus of Valsalva aneurysm in the living patient was rare, with most of the reports coming from autopsy or surgery. Once rupture occurs however, characteristic symptoms and signs, such as precordial distress, a continuous murmur over the base of the heart, pulmonary ...
Malik J M - - 1995
The Steiner-Lindquist laser intra-operative guidance method is described and its application in the surgical treatment of mycotic aneurysm is presented. Three illustrative cases of distal middle cerebral artery aneurysms are reported. The authors argue that all ruptured mycotic aneurysms should be treated surgically. The laser-guided stereotactic approach is presented as ...
Stehbens W E - - 1995
Autopsy findings are described of an atypical aneurysm of a large cerebral artery in a young child. The lesion is believed to have been an infective (mycotic) aneurysm. Antibiotics were administered at the time of the first leakage which had been thought to be due to a sinus infection. The ...
Okita Y - - 1995
A giant aneurysm in the right sinus of Valsalva compressed the right coronary artery and caused angina pectoris in a 44-year-old man. Surgical correction consisted of obliterating the orifice of the aneurysm with a Dacron patch and relocating the right coronary artery. Postoperative angiography demonstrated excellent results. Pathological study demonstrated ...
Koh K K - - 1994
The vast majority of sinus of Valsalva aneurysm originated from a localized congenital defect of the aortic media and less frequently from infections or degenerative processes affecting the aortic wall. But aneurysm of sinus of Valsalva has not been reported up to the present in a patient with Behçet's disease. ...
Woś S - - 1994
Five patients were operated on because of ruptured aneurysm of the sinus of Valsalva. In the cases with no concomitant VSD the surgical access from the aorta was used. The aorta was opened and the Fogarty catheter was introduced to the fistula. The "wind sock" of the aneurysm was pulled ...
Kalangos A - - 1994
Mycotic aneurysms of the coronary artery are rare. We report the case of a mycotic aneurysm of the left anterior descending artery. Surgical treatment consisted of simultaneous resection of the aneurysm and revascularization using a venous graft. Thirteen cases of mycotic aneurysms of the coronary arteries have been reported in ...
Van Camp G - - 1994
OBJECTIVE: To elucidate why different types of contrast appear in the left atrium during transoesophageal echocardiographic contrast studies. This should lead to a more uniform definition of true patent foramen ovale. BACKGROUND: The Valsalva manoeuvre and cough are routinely used to enhance right to left shunt for the detection of ...
Walsh J T - - 1994
Congenital aneurysms arising from the left sinus of Valsalva are extremely uncommon, and when unruptured often asymptomatic. Abnormalities of rhythm are more commonly associated with dilatation of the right coronary sinus although the reason for this is unclear. We report the first case of an unruptured aneurysm involving the left ...
McGiffin D C - - 1994
Aortic suture line infection caused by Pseudomonas aeruginosa occurred in a 31-year-old man 2 months after orthotopic heart transplantation. Incomplete resection of the mycotic aneurysm and replacement of the ascending aorta with allograft aorta was performed. Subsequently, the infection recurred on the proximal suture line, and reoperation with complete excision ...
Bastounis E - - 1994
Six cases of arterial aneurysms, due to "Behçet's disease" located in various arteries are presented. Surgical reconstruction included: Resection of the lesions and replacement with corresponding grafts with satisfactory results. In spite of the macroscopic similarity of the aneurysms found in "Behçet's disease" as compared to those of mycotic origin, ...
Heyd J - - 1994
Mycotic aneurysms of the extracranial carotid arteries are extremely rare. A case is reported of an external carotid artery aneurysm that developed in a patient with infective endocarditis. We review 15 previously reported cases of mycotic aneurysms of the cervical carotid arteries, one of which occurred in a patient with ...
Follis F M - - 1994
A mycotic aneurysm developed at the aortic cannulation site after coronary revascularization and subsequent mediastinitis. Treatment required hypothermic circulatory arrest and patch repair. Review of the literature revealed 40 cases, 11 after various open heart procedures and 10 after either heart or heart and lung transplantation. Postoperative mediastinitis was present ...
Barami K - - 1994
The case of a mycotic aneurysm presenting as an intraparenchymal hemorrhage and acute subdural hematoma is described. A 36-year-old man with a history of headaches and fever presented in coma. Brain computed tomography scan revealed a left occipital intraparenchymal hemorrhage and a nonadjacent acute subdural hematoma that was evacuated. Angiography ...
Van der Wall H - - 1994
While rare, mycotic aneurysms of the aorta have a high mortality rate from immediate rupture and late complications. The case of a patient with a ruptured mycotic aneurysm is presented, and the important role of scintigraphic studies in the early detection of complicating extensive soft-tissue infection and osteomyelitis is demonstrated.
Isomura T - - 1994
Sixteen patients underwent operation for ruptured aneurysm of the sinus of Valsalva (RASV) between 1979 and 1992. The age ranged from nine to 57 years (mean 31.8 years). Four patients were asymptomatic and 12 symptomatic and among symptomatic patients, five patients underwent emergency operation. Associated congenital anomalies were subpulmonary ventricular ...
Risher W H - - 1994
Mycotic aneurysms of the ascending aorta are rare. We report the case of a 38-year-old woman with systemic lupus erythematosus being treated with steroids who presented with a large Neisseria gonorrhoeae ascending aortic aneurysm. She was successfully treated with surgical resection of the aneurysm and prolonged postoperative antibiotic therapy.
Hurley J - - 1994
We report a case of rupture of an acquired sinus of Valsalva aneurysm secondary to Aspergillus endocarditis in a patient with chronic lymphocytic leukaemia and idiopathic thrombocytopaenia purpura. Despite adequate repair and haemodynamic correction, with an apparent excellent initial result, the patient died of overwhelming sepsis at twelve days postoperatively. ...
Kuki S - - 1994
Mycotic aneurysm is usually found in the middle cerebral artery associated with infective endocarditis. Previous reports we have identified include only 4 cases of vertebrobasilar aneurysm. We report on a 29-year-old female who had multiple mycotic aneurysms involving both the carotid and vertebrobasilar systems complicated by intracranial hemorrhage with infective ...
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