scholarly journals Clinical Profile and the Management of Mycotic Superior Mesenteric Artery (SMA) Aneurysm in Infective Endocarditis: A Potential Tsunami

2019 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Clinical Profile

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

2019 ◽  
Vol 26 (6) ◽  
pp. 879-884
Author(s):  
Wataru Higashiura ◽  
Hiroaki Takara ◽  
Ryoichi Kitamura ◽  
Tomotaka Iraha ◽  
Akio Nakasu ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Transcatheter Arterial Embolization ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Transarterial Embolization ◽  
Arterial Embolization ◽  
Collateral Flow ◽  
Ileocolic Artery ◽  
Mycotic Aneurysms

Purpose: To report 3 patients with infective endocarditis who underwent transcatheter arterial embolization for mycotic aneurysm of the distal superior mesenteric artery (SMA). Case Report: Three men (60, 64, and 65 years old) were diagnosed with infective endocarditis. Antibiotics were initiated immediately after admission and continued for several weeks to months. Distal SMA mycotic aneurysm was identified on computed tomography in the vicinity of the ileocolic artery at 33, 26, and 30 days after admission. In case 1, the ileal artery was occluded distal to the aneurysm, with collateral flow to the ileum. In case 2, the mycotic aneurysm was located below the ileocolic artery, which was stenosed distal to the lesion. In case 3, the aneurysm was located on a branch of the ileal artery. Transarterial embolization using microcoils was successfully performed in all patients. No complications associated with embolotherapy or relapse of infection were observed in these 3 patients at 60, 30, and 15 months, respectively. Conclusion: Transcatheter arterial embolization for distal SMA mycotic aneurysm could provide an alternative to open surgery. Anatomical assessment of collateral flow and preprocedure long-term antibiotic therapy could play important roles in preventing bowel ischemia and minimizing the risk of infection relapse.

Infective Endocarditis Associated Superior Mesenteric Artery Pseudoaneurysm

2014 ◽  
Vol 28 (6) ◽  
pp. 1563.e1-1563.e5 ◽  
Author(s):  
Pedro G. Teixeira ◽  
Eli Thompson ◽  
Sarah Wartman ◽  
Karen Woo
Keyword(s):  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Pseudoaneurysm

scholarly journals Superior mesenteric artery aneurysm in a patient with infective endocarditis

CJEM ◽  
2014 ◽  
Vol 16 (01) ◽  
pp. 84-87 ◽  
Author(s):  
Jennifer Devon ◽  
Philip Miller
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Physical Examination ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Aneurysm ◽  
Recent Advances ◽  
Predisposing Conditions

ABSTRACT Infective endocarditis (IE) is a rare but serious condition. We present a case of endocarditis in a healthy 40-year-old male with no predisposing conditions. His physical examination was suggestive of peripheral microembolization and prompted us to consider the diagnosis of IE and order the appropriate investigations. After treatment, he later presented to the emergency department with abdominal pain, and a superior mesenteric artery aneurysm was discovered. We discuss recent advances in the changing epidemiology and microbiology of IE, review the presentation and diagnosis of IE, and highlight the potential complications of this disease.

Simultaneous Valve Replacement and Venous Patch Repair of Superior Mesenteric Artery Aneurysm Due to Infective Endocarditis: A Case Report

2006 ◽  
Vol 9 (5) ◽  
pp. E741-E743 ◽  
Author(s):  
Filip Rega ◽  
André Nevelsteen ◽  
Willy Peetermans ◽  
Marie-Christine Herregods ◽  
Willem Flameng ◽  
...  
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Valve Replacement ◽  
Mesenteric Artery ◽  
Artery Aneurysm ◽  
Patch Repair ◽  
Venous Patch

scholarly journals Ruptured Mycotic Superior Mesenteric Artery Aneurysms and Infective Endocarditis

2019 ◽  
pp. 162-165
Author(s):  
Hentati Rim ◽  
Tlili Tlili ◽  
Azaiez Fares ◽  
Zouari Fatma ◽  
Zayed Soufien
Keyword(s):  
Infective Endocarditis ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery

Synchronous celiac axis and superior mesenteric artery embolism

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Rajkovic ◽  
Zelic ◽  
Papes ◽  
Cizmek ◽  
Arslani
Keyword(s):  
Atrial Fibrillation ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Abdominal Cavity ◽  
Celiac Axis ◽  
Contrast Administration ◽  
Artery Embolism

We present a case of combined celiac axis and superior mesenteric artery embolism in a 70-year-old patient that was examined in emergency department for atrial fibrillation and diffuse abdominal pain. Standard abdominal x-ray showed air in the portal vein. CT scan with contrast showed air in the lumen of the stomach and small intestine, bowel distension with wall thickening, and a free gallstone in the abdominal cavity. Massive embolism of both celiac axis and superior mesenteric artery was seen after contrast administration. On laparotomy, complete necrosis of the liver, spleen, stomach and small intestine was found. Gallbladder was gangrenous and perforated, and the gallstone had migrated into the abdominal cavity. We found free air that crackled on palpation of the veins of the gastric surface. The patient’s condition was incurable and she died of multiple organ failure a few hours after surgery. Acute visceral thromboembolism should always be excluded first if a combination of atrial fibrillation and abdominal pain exists. Determining the serum levels of d-dimers and lactate, combined with CT scan with contrast administration can, in most cases, confirm the diagnosis and lead to faster surgical intervention. It is crucial to act early on clinical suspicion and not to wait for the development of hard evidence.

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