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Eur J Cardiothorac Surg 2002;21:948-950
© 2002 Elsevier Science NL

Case report

Endovascular treatment for intracranial mycotic aneurysms prior to cardiac surgery

^a Department of Cardiothoracic Surgery, Nagoya University School of Medicine, Nagoya 466-8550, Japan
^b Department of Neurosurgery, Nagoya University School of Medicine, Nagoya 466-8550, Japan

Received 3 January 2002; received in revised form 1 February 2002; accepted 5 February 2002.

* Corresponding author. Tel.: +81-52-744-2375; fax: +81-52-744-2383
e-mail: asaitm{at}med.nagoya-u.ac.jp

The management of patients with infective endocarditis complicated by intracranial mycotic aneurysms is controversial. We present the case of a 21-year-old man who suffered from mitral regurgitation with small vegetations due to infective endocarditis. The problem was associated with a ruptured aneurysm on the right anterior cerebral artery and an unruptured aneurysm on the left middle cerebral artery. Endovascular embolization of these aneurysms and subsequent mitral valve repair led to a successful outcome.

Key Words: Infective endocarditis • Mycotic aneurysm • Endovascular treatment