Mycotic aneurysm is an established condition first identified in 1885 by Sir William Osler. It is linked to malignant endocarditis. With prevalence of 0.7-2.6% of all cases of aortic aneurysms, it is associated with a significant rate of mortality and morbidity. Physicians should be highly cautious, as diagnosis and effective treatment for this condition are difficult. The following is a case r...

Mycotic aortic aneurysms are exceedingly uncommon in infants and they have a high risk of rupture. Their surgical management is extremely challenging. We report a case of a 22-month-old girl who presented with abdominal pain and fever revealing a ruptured mycotic aneurysm of the infrarenal aorta. The surgical treatment consisted of a ligature of the proximal and distal ends of the aneurysm. Pos...

possible; unlike this case involving an active and growing left-sided lesion w3x. While this case demonstrated a successful outcome using a staged strategy, this may not have occurred if certain factors had changed (persistence of the bacteremia, worsening heart failure, evidence of new emboli, or aneurysmal growth). With the involvement of several consultants, closely monitored progress, and a...

Mycotic aneurysms are uncommon, but are fatal without appropriate management. Previous reports have shown that anaerobes and gram-negative organisms are less common but more dangerous than other causative agents of mycotic aneurysm. We report the case of a 60-year-old man with poorly controlled diabetes mellitus and atherosclerosis in the aorta, and a 10-day of history of lower abdominal pain a...

Mycotic renal artery aneurysms are rarely seen. Because the renal artery is located deep within the retroperitoneum, open surgical repair is highly invasive. Endovascular repair with a covered stent, followed by an adequate antibiotic regimen, may offer a treatment alternative for elderly and emaciated patients. We report the first case of using a covered stent in treating a mycotic renal arter...

We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virus-related liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause. After emergent surgery with prosthetic graft interposition, all her blood cultures and tissue culture...

BACKGROUND Mycotic pseudoaneurysm from the cavernous segment of the internal carotid artery (ICA) secondary to an invasive aspergillus sinusitis is rare. Surgical intervention with ICA ligation is generally accepted for most mycotic aneurysms or pseudoaneurysms. When presented with massive epistaxis due to a fungal aspergillus ICA invasion, mortality rates are high. METHODS We present the cas...

Isolated mycotic saccular aneurysm of the left pulmonary artery as a result of acute bacterial endarteritis complicating persistent ductus arteriosus is described in 2 children aged I3 years and 7 years. Successful resection of the aneurysm was accomplished in the first child. The second child had associated aortic incompetence and succumbed from cardiac failure while awaiting operation. Aneury...

We report a case of spinal subarachnoid hemorrhage (SAH) caused by rupture of a mycotic anerurysm. A 59-year-old woman was admitted to our hospital with a sudden onset of headache and tetraparesis. Computed tomography (CT) scan of the brain revealed SAH, and magnetic resonance imaging (MRI) of the cervical spine showed an acute intradural hematoma. On angiogram, a saccular aneurysm was found on...