1/47. Comparison of transesophageal to transthoracic color Doppler echocardiography in the identification of intracardiac mycotic aneurysms in infective endocarditis.We report on cases of mycotic aneurysms in a group of 14 patients with infective endocarditis, all of whom were evaluated with transthoracic (TTE) and transesophageal (TEE) color Doppler echocardiography. Four mycotic aneurysms were found, one each in the left ventricular outflow tract, the right coronary sinus of valsalva, the anterior mitral leaflet, and the atrial septum. With TTE, only three of four cases of mycotic aneurysms could be detected. Utilizing TEE, however, all were detected and their connections with the heart chambers or great vessels could be readily and clearly depicted, especially those in the atrial septum and mitral leaflet. We are of the opinion that TEE is superior to TTE in the identification and detailed analysis of mycotic aneurysms complicating infective endocarditis. In addition, we feel that echocardiography may help evaluate the progress of the disease, the location and direction of infection, and the extent of involvement of the mycotic aneurysms, providing useful information for guiding surgical intervention.- - - - - - - - - - ranking = 1keywords = aneurysm (Clic here for more details about this article) |
2/47. Ruptured mycotic pulmonary artery aneurysm: an unusual complication of right-sided endocarditis.Mycotic pulmonary aneurysm is an infrequently diagnosed complication of endocarditis. We report here a case of mycotic pulmonary aneurysm and a review of 25 cases from the literature. The mortality rate is greater than 50%. Prompt diagnosis is necessary because early intrasaccular embolization and/or surgical repair is essential to avoid death from rupture of the aneurysm.- - - - - - - - - - ranking = 0.77777777777778keywords = aneurysm (Clic here for more details about this article) |
3/47. Mitral valve replacement through dilated aortic annulus in Marfan's syndrome.A 30-year-old man presented with severe aortic regurgitation due to an ascending aortic aneurysm and mitral valve insufficiency in conjunction with active endocarditis. He underwent combined aortic root replacement by a composite graft and mechanical mitral valve replacement. After excision of the aortic valve cusps the mitral valve was approached through the extremely dilated aortic annulus. This technique is seldom used. Mitral valve replacement through the aortic root can be advantageous in selected patients to minimize trauma and reduce myocardial ischemic time.- - - - - - - - - - ranking = 0.11111111111111keywords = aneurysm (Clic here for more details about this article) |
4/47. Mycotic aneurysm on posterior cerebral artery: resolution with medical therapy.Mycotic aneurysms on the branches of vertebro basilar artery are rare. A patient of infective endocarditis with mycotic aneurysm on the posterior cerebral artery is described. The aneurysm resolved with medical therapy. Controversies regarding the management of mycotic aneurysms are discussed.- - - - - - - - - - ranking = 0.88888888888889keywords = aneurysm (Clic here for more details about this article) |
5/47. Pseudoaneurysm of the mitral-aortic fibrosa: myocardial ischemia secondary to left coronary compression.In the current study we describe the cases of 2 patients operated on for left-sided endocarditis, who later had myocardial ischemia develop secondary to left coronary artery compression from a pseudoaneurysm of the mitral-aortic fibrosa. Because the symptoms of angina persisted despite medical treatment, both patients had second surgeries. myocardial revascularization was performed in 1 patient; the other patient, who had a severely depressed ventricular function, was given an orthotopic cardiac transplant.- - - - - - - - - - ranking = 0.73544011593956keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
6/47. Infective endocarditis resulting from CardioSEAL closure of a patent foramen ovale.Patent foramen ovale and atrial septal aneurysm are associated with an increased risk of cryptogenic stroke and recurrent thromboembolic events. Percutaneous closure is a therapeutic option to medical therapy and surgical closure. We present the first case of endocarditis associated with a CardioSEAL device closing a patent foramen ovale.- - - - - - - - - - ranking = 0.11111111111111keywords = aneurysm (Clic here for more details about this article) |
7/47. Infective endocarditis with perivalvular pseudoaneurysm.A 16-year-old Japanese woman with infective endocarditis was admitted to hospital. An echocardiography exhibited a perivalvular pseudoaneurysm just under the mitral valve. Left ventriculography demonstrated that the aneurysm had a small neck and dyskinetic motion with oppression to the coronary sinus and right coronary artery.- - - - - - - - - - ranking = 1.5660894685867keywords = pseudoaneurysm, aneurysm (Clic here for more details about this article) |
8/47. Large atrial septal aneurysm and delayed improvement of renal failure due to nephrotoxic drugs (and hemodialysis) in a diabetic patient.Atrial septal aneurysm (ASA) is a well known morphologic abnormality and has been largely investigated with both transthoracic (TTE) and/or transesophageal echocardiography (TEE). Its association with other congenital and acquired heart diseases and midsystolic clicks has been reported. ASA also may be associated with an increased risk of embolic events. In many cases, it is an incidental finding. We describe a patient with acute renal failure associated with nephrotoxic drugs and ASA suggesting endocarditis.- - - - - - - - - - ranking = 0.55555555555556keywords = aneurysm (Clic here for more details about this article) |
9/47. Complications of valvular surgery--5 cases report with special reference to the conduction system--.Five interesting autopsy cases of post-valvular replacement death are reported and discussed with special reference to disturbances of the conduction system. The most important acute changes are hemorrhages; the significance of a venous hemorrhage is emphasized. Chronic changes are collagenization of conduction system. One case of mycotic valvulitis, probably due to aspergillus, and one case of dissecting aneurysm probably related to previous valve replacement surgery are included.- - - - - - - - - - ranking = 0.11111111111111keywords = aneurysm (Clic here for more details about this article) |
10/47. Treatment of an aortic fungal false aneurysm by composite stentless porcine/pericardial conduit: a case report.Fungal prosthetic valve endocarditis is an uncommon but serious condition with high early and long-term mortality. The majority of these cases occur after aortic valve surgery and are caused by candida species. Radical debridement of all infected tissues, valve replacement with perioperative and long-term anti-fungal agents is the recommended treatment. Choice of prosthesis varies widely among surgeons, but present recommendations favour biological prostheses. We report for the first time the case of a fungal PVE with false aneurysm after composite aortic root replacement with a dacron composite conduit treated successfully with aortic root replacement using a Shelhigh (Shelhigh Inc., Millburn, NJ) stentless porcine pericardial valved conduit.- - - - - - - - - - ranking = 0.55555555555556keywords = aneurysm (Clic here for more details about this article) |
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