[A case of heart operation in infective endocarditis after brain surgery for mycotic cerebral aneurysm]

Area of Science:

• Cardiology
• Neurology
• Infectious Diseases

Background:

• Infective endocarditis can lead to serious complications, including infective aneurysms.
• The optimal timing for cardiac surgery following brain surgery for hemorrhage remains debated.

Observation:

• A 19-year-old woman with ventricular septal defect and mitral regurgitation presented with infective endocarditis and a ruptured cerebral aneurysm.
• The cerebral aneurysm ruptured during infective endocarditis treatment, necessitating immediate surgical resection.
• Post-aneurysm resection, the patient experienced cerebral infarction due to vessel spasm.

Findings:

• Cardiac surgery was successfully performed 41 days after the initial brain surgery for aneurysm resection.
• The patient experienced no further cerebral complications after the delayed cardiac operation.
• Conservative management of infective endocarditis was continued until the onset of heart failure.

Implications:

• This case suggests that delaying cardiac surgery in the early postoperative period after brain surgery for ruptured cerebral aneurysms may be a safe strategy.
• Careful consideration of the timing of interventions is crucial in patients with concurrent infective endocarditis and cerebrovascular events.
• This case highlights the complex interplay between infective endocarditis, cardiac defects, and cerebrovascular complications.