Undetected pulmonary Artery Aneurysms Secondary to Prolonged Right-sided Endocarditis in a Patient with Corrected Tetralogy of Fallot

Mycotic pulmonary artery aneurysms are a rare complication of right-sided endocarditis most often associated with congenital heart disease or intravenous drug addiction. We report a case of undetected mycotic pulmonary artery aneurysms secondary to prolonged rightsided endocarditis in a 25-years old patient with corrected tetralogy of Fallot /pulmonary atresia. An attempt to explain the delayed diagnosis of endocarditis with subsequent mycotic aneurysms formation is made and the clinical and imaging findings of this rare complication during a long-term follow up are presented, contributing to our knowledge on the natural history of this disease.