Document Detail

Simultaneous mitral valve replacement and bypass grafting for mycotic aneurysm of the femoral artery during the active phase of infective endocarditis: a case report.
MedLine Citation:
PMID:  11888481     Owner:  NLM     Status:  MEDLINE    
A 52-year-old woman with a 3-week history of fever and cough was diagnosed as having bacterial endocarditis with vegetation and severe mitral valve insufficiency by echocardiography. Blood culture revealed Streptococcus mitis. After antibiotic treatment for 3 weeks, the patient noticed swelling with pain in her left groin. Computed tomography revealed an occluded aneurysm in the left common femoral artery. Simultaneous surgical treatments of mitral valve replacement and bypass grafting using a saphenous vein following resection of the mycotic femoral arterial aneurysm were performed. Pathohistological examination of surgical specimens revealed acute inflammatory findings, but no microorganisms were found, probably because of the preoperative antibiotic therapy. Her postoperative course was uneventful, and there was no recurrence of mycotic aneurysms in a period of 10 months after the operation. Prompt recognition and urgent simultaneous surgical treatments for mycotic aneurysms complicated with infective endocarditis were effective.
M Shinonaga; K Yamamoto; H Matsubara; F Takeda; S Tanaka; F Oguma; S Kasuya
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  7     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-03-12     Completed Date:  2002-06-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  381-3     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Tachikawa General Hospital, 3-2-11 Kanda, Nagaoka 940-8621, Japan.
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MeSH Terms
Aneurysm, Infected / complications,  surgery*
Endocarditis, Bacterial / complications,  surgery*
Femoral Artery / surgery*
Heart Valve Prosthesis
Middle Aged
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology,  surgery*
Saphenous Vein / transplantation
Streptococcus / isolation & purification
Transplantation, Autologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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