Successful Surgical Treatment
for a Mycotic Aneurysm of the Gastroduodenal Artery Penetrating
into the Residual Stomach
Kenji Mogi
Mitsunori Okimoto
iDepartment of Cardiovascular Surgery, Chiba Emergency
Medical Center, Chiba, Japanj
A case of mycotic aneurysm in the
gastroduodenal artery associated with infectious endocarditis
(IE) penetrating into the residual stomach is reported. A 50-year-old
woman was transferred to our hospital because of sudden onset
of hematemesis and bloody stool. She had had partial gastrectomy
due to duodenal ulcer 6 years previously and aortic prosthetic
valve replacement due to infectious endocarditis eight months
previously. Emergency laparotomy was performed. Aneurysm of the
gastroduodenal artery penetraing into the lumen of the residual
stomach was found. The aneurysm had not been detected in the
CT scan 8 months earlier. It was surmised that it was related
to IE and had developed over the last 8 months. Aneurysmectomy
was performed. The postoperative course was uneventful and she
was discharged on the 22nd postoperative day. Mycotic aneurysm
associated with IE developing into the gastroduodenal artery
and penetrating into the stomach is rare. It is possible that
a mycotic aneurysm could develop in any artery of a patient with
IE. We should thus carefully examine patients with IE in order
to detect mycotic aneurysms using angiography and the contrast-enhanced
CT scan.
@Jpn. J. Cardiovasc. Surg. 31F74-76(2002)
