Endovascular treatment for intracranial mycotic aneurysms prior to cardiac surgery

Asai, Toshimasa; Usui, Akihiko; Miyachi, Shigeru; Ueda, Yuichi
May 2002
European Journal of Cardio-Thoracic Surgery;May2002, Vol. 21 Issue 5, p948
Academic Journal
The management of patients with infective endocarditis complicated by intracranial mycotic aneurysms is controversial. We present the case of a 21-year-old man who suffered from mitral regurgitation with small vegetations due to infective endocarditis. The problem was associated with a ruptured aneurysm on the right anterior cerebral artery and an unruptured aneurysm on the left middle cerebral artery. Endovascular embolization of these aneurysms and subsequent mitral valve repair led to a successful outcome.


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