Infective endocarditis with cerebral mycotic aneurysm: treatment dilemma.

被引：5
|
作者：
Fujita W. [1 ]
Daitoku K. [1 ]
Taniguchi S. [1 ]
Fukuda I. [1 ]
机构：
[1] Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Aomori
来源：
General Thoracic and Cardiovascular Surgery | 2010年 / 58卷 / 12期
关键词：
Infective endocarditis; Mycotic aneurysm; Clinical management;
D O I：
10.1007/s11748-009-0581-3
中图分类号：
学科分类号：
摘要：
Cerebral mycotic aneurysms are uncommon but severe complications of infective endocarditis. Management of these patients remains controversial. We present a case of a 23-year-old man who had infective endocarditis complicated by an intracranial mycotic aneurysm. Because antimicrobial therapy was not effective in reducing the size of the mycotic aneurysm, a decision was made to perform craniotomy before cardiac surgery. The patient underwent an open heart operation 20 days after aneurysm clipping. His postoperative course was uneventful, and the patient continues to be healthy without neurological complications.
引用
收藏
页码：622 / 625
页数：3
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