Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients

Aleena Khan; Muhammad Waqas; Waseem M. Nizamani; Muhammad E. Bari

doi:10.4103/sni.sni_78_17

Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients

Aleena Khan, Muhammad Waqas, Waseem M. Nizamani, Muhammad E. Bari

Department of Surgery, Medical College, Pakistan

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect. Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery. Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.

Original language	English
Article number	144
Journal	Surgical Neurology International
Volume	8
Issue number	1
DOIs	https://doi.org/10.4103/sni.sni_78_17
Publication status	Published - 2017

Keywords

Infective endocarditis
intracranial hemorrhage
mycotic aneurysm
neurosurgical emergency
rheumatic heart disease

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10.4103/sni.sni_78_17

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abstract = "Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect. Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery. Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.",

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AU - Bari, Muhammad E.

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AB - Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect. Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery. Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.

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Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients

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Keywords

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