A Case of Mitral Valve Regurgitation due to Infective Endocarditis with Mycotic Aneurysms of the Intracranial Artery and Superior Mesenteric Artery

Naoki Konagai Hiromi Yano
Mitsunori Maeda Masanori Misaka
Masataka Matsumoto Tatsuhiko Kudo
Shin Ishimaru*

(Department of Cardiovascular Surgery, Hachioji Medical Center of Tokyo Medical University, Tokyo, Japan and Second Department of Surgery, Tokyo Medical University*, Tokyo, Japan)

A 31-year-old man underwent mitral valve replacement because of mitral regurgitation due to continued active infective endocarditis despite antibiotic therapy. Because cerebral mycotic aneurysm was suggested by preoperative IVDSA (Intravenous Digital Subtraction Angiography), cerebral angiography was performed on the first postoperative day. Cerebral mycotic aneurysm was detected in the middle cerebral artery and emergency aneurysm trapping was successfully performed. Although the patient had no neurologic deficit and postoperative cardiac function was stable, impending rupture of the mycotic aneurysm of the superior mesenteric artery occurred suddenly on the twelfth postoperative day. Endovascular treatment using the coil-embolization technique was immediately performed, and the postoperative course was uneventful.
@Jpn. J. Cardiovasc. Surg. 31F71-73(2002)