Basilar Artery Dissection Complicated with Infective Endocarditis.

Abstract:

:A 14 year-old boy developed infective endocarditis of the mitral valve caused by Methicillin-sensitive Staphylococcus aureus and became comatose. Isolated basilar artery dissection was initially observed on the 3rd day by magnetic resonance imaging (MRI), ie, it did not exist on day 1. He underwent successful urgent mitral valve repair on the 5th day because of highly mobile vegetations and a newly emerged brain infarction under optimal antibiotic administration. Postoperatively, he recovered well and the basilar artery dissection was found to have recovered on an MRI on the 25th day without any specific intervention. This clinical course indicated that intracranial artery dissection may occur as a complication of infective endocarditis and supports the importance of the careful evaluation of brain MRI in patients with infective endocarditis.

journal_name

Int Heart J

authors

Kawano A,Masutani S,Inui A,Honma H,Igarashi T,Tsuneoka H,Sakamoto W,Sakurai Y,Dembo T,Imanaka K

doi

10.1536/ihj.20-474

subject

Has Abstract

pub_date

2021-01-16 00:00:00

eissn

1349-2365

issn

1349-3299

pub_type

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