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[Treatment of an intracerebral mycotic aneurysm with embolisation].

Authors
  • Batias, L
  • Cottier, J P
  • Hommet, C
  • Fichet, J
  • Legras, A
Type
Published Article
Journal
Archives des maladies du coeur et des vaisseaux
Publication Date
Oct 01, 2006
Volume
99
Issue
10
Pages
936–939
Identifiers
PMID: 17100147
Source
Medline
License
Unknown

Abstract

We report the case of a patient with streptococcal mitral endocarditis discovered following an ischaemic cerebrovascular accident. The clinical evolution was marked by the progressive development of a mycotic aneurysm. Surveillance was performed with repeated angio-MRI which provided an indication for embolisation. We demonstrate the value and the current quality of angio-MRI for the diagnosis of mycotic aneurysms, and the value of active management of these lesions which present a high risk of rupture and which are associated with a significant excess mortality. Embolisation can allow earlier cardiac surgery for haemodynamically unstable patients and for those whose neurological state until now contra-indicated intervention.

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