Mycotic embolism in patients with infective endocarditis is not uncommon, however, mycotic aneurysm of a coronary artery is very rare. We report the case of a 62-year-old woman with mitral valve endocarditis complicated by mycotic aneurysm of the right coronary artery. Mitral valve replacement and resection of the mycotic aneurysm with coronary artery bypass were performed.
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References
1.
CatesJEChristieRV. Subacute bacterial endocarditis: A review of 442 patients treated in 14 centers appointed by the Penicillin Trials Committee of the Medical Research Council. Q J Med1951;20:93–130.
2.
HerzogCAHenryTDZimmerSD. Bacterial endocarditis presenting as acute myocardial infarction: A cautionary note for the era of reperfusion. Am J Med1991;90:392–7.
3.
CliffMMSoulenRLFinestoneAJ. Mycotic aneurysms–a challenge and a clue. Review of ten-year experience. Arch Intern Med1970;126:977–82.
4.
NebekerHGHerczGFeldGKStanleyTMCoburnJWKurokawaK. Postinfectious glomerulonephritis in a renal allograft associated with a mycotic aneurysm of a coronary artery. Am J Med1984;76:940–2.
5.
McGeeMBKahnMY. Ruptured mycotic aneurysm of a coronary artery. A fatal complication of Salmonella infection. Arch Intern Med1980;140:1097–8.
6.
MatsumotoMKonishiYMiwaSMinakataK. Mycotic aneurysm of the left coronary artery. Ann Thorac Surg1998;65:841–2.
7.
WeinsteinLSchlesingerJJ. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (first of two parts). N Engl J Med1974;291:832–7.
8.
WeinsteinLSchlesingerJJ. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (second of two parts). N Engl J Med1974;291:1122–6.
