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Eur J Cardiothorac Surg 1998;14:533-535
© 1998 Elsevier Science NL

Case report

Infective endocarditis complicated by mycotic cerebral aneurysm: two case reports of women in the peripartum period

Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, 50 Hachiken-nishi, Aotake-cho, Toyohashi 441–8570, Japan

Received 14 April 1998; received in revised form 20 July 1998; accepted 28 July 1998.

Corresponding author. Tel.: +81 532 33 6111/81 532 619644; fax: +81 532 33 6177.

Mycotic cerebral aneurysm is a relatively rare but very serious complication of infective endocarditis. Infective endocarditis is a rare but a potentially fatal complication of pregnancy. We report here two very rare cases of infective endocarditis associated with mycotic cerebral aneurysm in peripartum women. In one case, cardiac surgery was performed prior to cerebral surgery and after delivery. In the other case, emergency cerebral surgery was performed due to rupture on the day cardiac surgery had been scheduled, 45 days after delivery. The surgical management of a patient with infective endocarditis and mycotic cerebral aneurysm is reviewed. The surgical strategy for a pregnant patient is also reviewed.

Key Words: Infective endocarditis • Mycotic cerebral aneurysm • Pregnancy