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A 59-year-old man developed a fast-growing mycotic innominate artery pseudoaneurysm complicating medically-treated mitral endocarditis caused by methicillin-susceptible Staphylococcus aureus. The pseudoaneurysm was revealed by ultrasound of the supra-aortic trunks and confirmed by magnetic resonance angiography (Fig. 1). The surgical treatment was performed with resection of the pseudoaneurysm and vascular reconstruction using cryopreserved arterial homografts (Fig. 2).

Mycotic innominate artery pseudoaneurysm complicating mitral endocarditis