Ruptured cerebral mycotic aneurysm, an unusual infective endocarditis presentation

• Tiago Alves ^[1] ; Rita Ivo ^[2] ; Marta Rebelo ^[2] ; Eduarda Carmo ^[3]
  1. [1] Centro Hospitalar do Médio Tejo
  2. [2] Centro Hospitalar Lisboa Ocidental
  3. [3] Centro Hospitalar Lisboa Ocidentaltalar Lisboa Ocidental

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• Localización: Galicia Clínica, ISSN 0304-4866, ISSN-e 1989-3922, Vol. 81, Nº. 2 (Abril), 2020, págs. 46-47
• Idioma: inglés
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• Resumen

  • Although septic embolization associated with infective endocarditis is relatively frequent, mycotic cerebral aneurysms are a rare and potentially fatal complication. The authors report the case of a woman admitted with a cerebral haemorrhage due to mycotic aneurysm rupture, which led to a subacute infective endocarditis diagnosis. The patient underwent craniotomy with aneurysm excision and mitral valvuloplasty due to severe valvular insufficiency, with a favorable clinical outcome. The authors make a brief review, highlighting the challenge of the management of these patients, especially at surgical approach, which requires an individualized therapy strategy based on patient evolution.