Open AccessMultiple Mycotic Aneurysms Due to Candida Endocarditis
Author(s) -
G. J. Collins,
Norman M. Rich,
Robert W. Hobson,
Charles A. Andersen,
David Green
Publication year - 1977
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197708000-00003
Subject(s) - medicine , endocarditis , antifungal , aneurysm , surgery , mycotic aneurysm , ligation , revascularization , resection , medical therapy , myocardial revascularization , cardiology , artery , dermatology , myocardial infarction
Candida endocarditis is a serious condition which should be suspected in any patient with signs and symptoms compatible with bacterial endocarditis when cultures are negative. It should be managed by a medical-surgical approach which combines resection of all infected heart tissue and repair of any preexisting heart defects with appropriate antifungal therapy. Mycotic aneurysms should be treated by ligation of the vessel above and below the aneurysm, resection of the aneurysm, and implementation of appropriate antifungal or antibacterial therapy. Revascularization is not always necessary. When required, an extra-anatomic approach is preferable to placing a graft through the bed of the aneurysm.