Echocardiography and digital subtraction angiography in detection of mycotic false aneurysm complicating coarctation of the aorta

Sá, Esteban López de; García-Fernández, Francisco; Ramos, Andres Felipe Garcia; Sotillo, J; Valencia, Eulalia; Khamashta, Munther A.; Artero, Gabriel

doi:10.1016/0002-8703(88)90895-2

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“…[2] More than 90% of mycotic aneurysms result from infective endocarditis with infected microemboli reacing the vasa vasorum. However, postcoarctation mycotic false aneurysms originate at the site of previously injured endothelium because of a jet lesion and by direct seeding of microorganisms,[6] as we can presume in the present case. In fact, we did not find any evidence of endocarditis: there were no signs of intracardiac vegetations or valve lesion on echocardiography.…”

Section: Discussionmentioning

confidence: 55%

Infective endarteritis and false mycotic aneurysm complicating aortic coarctation

et al. 2012

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Section: Discussionmentioning

confidence: 55%

Infective endarteritis and false mycotic aneurysm complicating aortic coarctation

et al. 2012

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Mycotic Pseudoaneurysm of the Aorta in Children

et al. 2000

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Mycotic pseudoaneurysm of the aorta is a rare disease in childhood. We report on two cases which were diagnosed in an unselected general pediatric population within an 8-month period. The first case was a 16-month-old toddler with a normal cardiac history who presented with purulent pericarditis due to group A streptococcus and subsequent pseudoaneurysm formation of the ascending aorta while convalescing from varicella infection. The second case was a 14-year-old girl with a previously undiagnosed coarctation of the aorta who developed a Staphylococcus aureus aortitis in the dilated poststenotic segment with pseudoaneurysm formation and infiltration into the adjacent lung tissue. In both cases parenteral antibiotic therapy was administered over 10 and 4 days, respectively, followed by emergency surgery consisting of aneurysmectomy, coarctectomy (case 2), and in situ homograft implantation. Recovery was uneventful. In both cases early institution of a femorofemoral cardiopulmonary bypass prevented a fatal outcome despite intraoperative rupture of the pseudoaneurysm.

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Echocardiography and digital subtraction angiography in detection of mycotic false aneurysm complicating coarctation of the aorta

Cited by 2 publications

References 5 publications

Infective endarteritis and false mycotic aneurysm complicating aortic coarctation

Infective endarteritis and false mycotic aneurysm complicating aortic coarctation

Mycotic Pseudoaneurysm of the Aorta in Children

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