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Multiple mycotic arterial aneurysms involving the left anterior descending coronary artery following mitral and aortic valve endocarditis: A case report
Author(s) -
Alotaibi Abdulaziz M.,
Arafat Amr A.,
Alotaibi Khaled,
Algarni Khaled D.,
Adam Adam I.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14653
Subject(s) - medicine , endocarditis , cardiology , mitral valve replacement , surgery , aneurysm , pericardial effusion , mitral valve , aortic valve replacement , aortic valve , mycotic aneurysm , artery , stenosis
We present a 57‐year‐old man with recent Streptococcus viridans endocarditis on mitral and aortic valves who had a mycotic aneurysm of the left anterior descending (LAD) coronary artery and associated superior mesenteric and cerebral artery aneurysms. The patient had preoperative renal failure and the infection was controlled with ceftriaxone. Mitral and aortic valve replacement were performed using tissue valves and the LAD aortic aneurysm was ligated and the patient had saphenous venous graft to the LAD. The postoperative course was complicated by pleural effusion and the patient had antibiotic therapy for 6 weeks postoperatively.