Abstract
Mycotic aneurysms are uncommon complications of infective endocarditis in children. We describe a case of mycotic aneurysm of the left facial artery occurring secondary to infective endocarditis. Presentation of the mycotic aneurysm was delayed and was noted 8 weeks after admission. This followed a course of intensive antibiotic therapy. Its progress was rapid, necessitating surgery for imminent rupture. A successful outcome was achieved.
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Bergsland J, Kamaguchi A, Roland M, Pieroni DR, Subramaniam S (1984) Mycotic aneurysms in children. Ann Thor Surg 37: 314–318
Brown SL, Busuttil RW, Bauer JD, Achleder HI, Moore WS, Barker WF (1984) Bacteriological and surgical determinants of survival in patients with mycotic aneurysms. J Vasc Surg 1: 541–547
Lobe TE, Richardson CJ, Boulden TF, Swischuk LE, Hayden CK, Oldham KT (1992) Mycotic thromboaneurysmal disease of the abdominal aorta in preterm infants: its natural history and its management. J Pediatr Surg 27: 1054–1059
Mansur AH, Grinberg M, Leaco PP, Chung CV, Stolf NAG, Pileggi F (1986) Extracrianial mycotic aneurysm in infective endocarditis. Clin Cardiol 9: 65–72
Mokoena T, Robbs JV (1991) Surgical management of mycotic aneurysms. S A J Surg 29: 103–107
Nakata Y, Shionoya S, Kamiya K (1968) Pathogenesis of mycotic aneurysm. Angiology 19: 593
Nakayama DK, O'Neill JA, Wagner H, Cooper A, Dean RN (1986) Management of vascular complication of bacterial endocarditis. J Pediatr Surg 21: 636–639
Stengel A, Woelferth CC (1923) Mycotic (bacterial) aneurysms of intravascular origin. Arch Intern Med 31: 527
Templeton JL, Barros D'Sa AAB (1987) Mycotic aneurysms of the profunds gemoris artery: a rare complication of bacterial endocarditis. J R Coll Surg Edinb 32: 270–271
Weinstein L (1980) Infective endocarditis in heart disease. In: Braunwald E (ed) a textbook of cardiovascular medicine. WB Saunders, Philadelphia, p 1191
Weinstein L, Schlesinger JJ (1974) Pathophysiological correlations in endocarditis. N Engl J Med 291: 1122
Wells WJ (1989) Surgical problems of endocarditis in children. J Cardio Surg 4: 313–316
Wilson WR, Lie JT, Houser OW, Piedgras DG, Gerachi JE (1981) Management of patients with mycotic aneurysms. Curr Clin Top Infect Dis 2: 151–183
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Mahomed, A., Zuckerman, M. Mycotic aneurysm of the facial artery complicating infective endocarditis. Pediatr Surg Int 10, 142–143 (1995). https://doi.org/10.1007/BF00171176
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DOI: https://doi.org/10.1007/BF00171176