Endovascular treatment for a unusually large mycotic aneurysm manifesting as intracerebral hemorrhage - case report.

Abstract:

:A 62-year-old male presented with an unusually large mycotic aneurysm mimicking a saccular aneurysm manifesting as coma and hypotension. Computed tomography showed intracerebral and intraventricular hemorrhage. He was in septic shock due to acute infectious endocarditis. Cerebral angiography disclosed a large distal anterior cerebral artery aneurysm. The diagnosis was mycotic aneurysm based on the morphological features and associated endocarditis. The aneurysm and the parent artery were successfully occluded by endovascular embolization. High-dose antibiotic therapy in the following 6 weeks resulted in resolution of the infectious endocarditis. Early exclusion of ruptured mycotic aneurysm is mandatory because of the high risk of rerupture. Endovascular treatment is an effective alternative for mycotic aneurysms, especially if the patient's general condition is poor. Parent artery occlusion can be safely tolerated if the aneurysm is located distally.

authors

Hara Y,Hosoda K,Wada T,Kimura H,Kohmura E

doi

10.2176/nmc.46.544

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

544-7

issue

11

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/46.544

journal_volume

46

pub_type

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