We present a case of leaking mycotic aneurysm of abdominal aorta complicated by infective endocarditis in a young boy of 14 years age. This boy with history of rheumatic heart disease with vegetations on mitral valve and severe mitral regurgitation landed up in complications of infective endocarditis like femoral artery thrombo embolism followed by an abdominal aortic aneurysm with contained rupture. This case was successfully managed addressing two problems i.e. valve and aneurysm repair in single sitting.
References
[1]
Millar, A.J.W., Gilbert, R.D., Brown, R.A., et al. (1996) Abdominal Aortic Aneurysms in Children. Journal of Peadiatric Surgery, 31, 1624-1628. https://doi.org/10.1016/S0022-3468(96)90034-2
[2]
Karchmer, A.W. (2014) Infective Endocarditis, Braunwald’s Heart Disease. A Textbook of Cardio Vascular Medicine. Saunders, Philadelphia, Pennsylvania, 1651-1652.
[3]
Osler, W. (1885) The Gultonian Lectures on Malignant Endocarditis. British Medical Journal, 1, 467-470. https://doi.org/10.1136/bmj.1.1262.467
[4]
Bayer, A.S., Bolger, A.F., Taubert, K.A., et al. (1998) Diagnosis and Management of Infective Endocarditis and its Complications. Circulation, 98, 29-36. https://doi.org/10.1161/01.CIR.98.25.2936
[5]
Phoung, L.K., Link, M. and Wijdicks, E. (2002) Management Intra Cranial Infections Aneurysm: A Series of 16 Cases. Neurosurgery, 51, 1145. https://doi.org/10.1097/00006123-200211000-00008
[6]
Olaison, L. and Petterson, G. (2002) Current Best Practice and Guidelines Indications for Surgical Intervention in Infective Endocarditis. Infectious Diseases Clinics of North America, 16, 453-475. https://doi.org/10.1016/S0891-5520(01)00006-X
[7]
Delahaye, F., Celard, M., Roth, O., et al. (2004) Indications and Optimal Timing for Surgery in Infective Endocarditis. Heart, 90, 618-620. https://doi.org/10.1136/hrt.2003.029967
[8]
Johansen, K. and Devin, J. (1983) Mycotic Aneurysms: A Reappraisal. Archives of Surgery, 118, 583-588. https://doi.org/10.1001/archsurg.1983.01390050059011
[9]
Townsend, C.M., Beauchamy, R.D., Evers, B.M. and Mattox, K.L. (2001) Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Saunders Publishers, Amsterdam, 1357-1367.
[10]
Di Salvo, G., Habib, G., Pergola, V., et al. (2001) Echocardiography Predicts Embolic Events in Infective Endocarditis. Journal of American College of Cardiology, 37, 1069-1076. https://doi.org/10.1016/S0735-1097(00)01206-7
[11]
Heiro, M., Nikoskelainen, J., Engblom, E., et al. (2000) Neurologic Manifestations of Infective Endocarditis. A 17 Year Experience in a Teaching Hospital in Finland. Archives of Internal Medicine, 160, 2781-2787. https://doi.org/10.1001/archinte.160.18.2781
[12]
Alestig, K., Hogevik, H. and Olaison, L. (2000) Infective Endocarditis: A Diagnostic and Therapeutic Challenge for the New Millennium. Scandinavian Journal of Infectious Diseases, 32, 343-356. https://doi.org/10.1080/003655400750044908
[13]
Kim, J.S., Kang, M.-K., Cho, A.J., Seo, Y.B. and Kim, K.I. (2017) Complicated Infective Endocarditis: A Case Series. Journal of Medical Case Reports, 11, 128. https://doi.org/10.1186/s13256-017-1274-7
