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Correspondencia a: Dr. Renato Mertens M. Marcoleta , Sexto piso, Santiago, Chile. Sepsis from an infected cardiac valve can lead to bacterial seeding and destruction of the arterial wall with formation of a Mycotic Aneurysm. The natural history of these lesions is the rupture. We report the case of a 20 year old white female who was admitted to our institution with massive mitral regurgitation and emboli of the central nervous system and both lower extremities.
She underwent emergency valve replacement and then, staged treatment of her ischemic legs and multiple asymptomatic mycotic aneurysms: Superior mesenteric, right common iliac and left superficial femoral arteries. An splenectomy was required to treat a splenic abscess. An Aneurysm of a peripheral branch of the middle cerebral artery was medically treated, demonstrating reduction in size on subsequent angiogram.
She recovered uneventfully and remains asymptomatic after 20 months of follow up. The development of new diagnostic and therapeutic tools has led to a decrease of these complications during infectious endocarditis. However, in the patient with late diagnosis and symptoms in different territories, the mycotic aneurysm must be kept in mind to provide the patient with appropriate treatment.
En la actualidad el Staphylococo sp. El tratamiento es conservador en su fase inicial.
ANEURISMA MICOTICO PDF
Mikarr Este estudio describe los resultados que se obtuvieron con los dos abordajes en un solo centro de referencia. Prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for most patients with lower extremity deep venous aneurysms. Acute palsy of the oculomotor nerve in the right eye was diagnosed and neurological examination was requested. The treatment of unruptured intracranial aneurysms UIAs remains complex and not clearly defined. Gender influence was absent. Full Text Available Sudden death is one of the most characteristic phenomena of Chagas disease, and approximately one-third of infected patients develop life-threatening heart disease, including malignant ventricular arrhythmias. Endovascular treatment of the abdominal aortic aneurysm is consider an alternative to open surgery for high risk patients.
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