Multiple mycotic arterial aneurysms involving the left anterior descending coronary artery following mitral and aortic valve endocarditis: A case report. Issue 7 (29th June 2020)

• Record Type: Journal Article
• Authors: Alotaibi, Abdulaziz M.; Arafat, Amr A.; Alotaibi, Khaled; Algarni, Khaled D.; Adam, Adam I.
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 7(2020)
• Page Start: 1717
• Page End: 1720
• Publication Date: 2020-06-29
• Subjects: infective endocarditis -- left anterior descending aneurysm -- mycotic aneurysms -- mycotic peripheral aneurysms; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14653
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: We present a 57‐year‐old man with recent Streptococcus viridans endocarditis on mitral and aortic valves who had a mycotic aneurysm of the left anterior descending (LAD) coronary artery and associated superior mesenteric and cerebral artery aneurysms. The patient had preoperative renal failure and the infection was controlled with ceftriaxone. Mitral and aortic valve replacement were performed using tissue valves and the LAD aortic aneurysm was ligated and the patient had saphenous venous graft to the LAD. The postoperative course was complicated by pleural effusion and the patient had antibiotic therapy for 6 weeks postoperatively.