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Updated: Aug 14, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
[Mycotic aneurysm of the ascending aorta: report of 2 cases]
H Lahdhili1, M Ziadi, N Baraket
1Service de chirurgie thoracique et cardiovasculaire de l'hôpital militaire de Tunis, 1008 Montfleury Tunis, Tunisie. hatem.lahdhili@fmt.rnu.tn
Abstract:
Infection in the vascular tree has been proved to be one of the greatest challenges for cardiovascular surgeons. Mycotic aneurysm of the ascending aorta is unusual, life threatening pathologic entity and develops mainly after open heart procedure. We report two cases of mycotic aneurysm of the ascending aorta occurring after prosthetic replacement of the aortic valve.
Insights
Mycotic aneurysms of the ascending aorta are rare but life-threatening complications following open heart surgery. This report details two cases of mycotic ascending aortic aneurysms after prosthetic aortic valve replacement.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Vascular Surgery
Background:
- Infection within the vascular system presents significant challenges for cardiovascular surgeons.
- Mycotic aneurysms, particularly of the ascending aorta, are uncommon and pose a severe threat to life.
- These aneurysms frequently develop subsequent to open-heart procedures.
Observation:
- This report describes two distinct cases.
- Both cases involved mycotic aneurysms of the ascending aorta.
- The aneurysms occurred after patients underwent prosthetic replacement of the aortic valve.
Findings:
- The study highlights the occurrence of mycotic aneurysms of the ascending aorta.
- It specifically focuses on cases arising after prosthetic aortic valve replacement.
- This underscores a potential complication in patients with prosthetic valves.
Implications:
- Increased vigilance is warranted for patients with prosthetic aortic valves, especially after cardiac surgery.
- Early detection and management strategies for mycotic aneurysms in this population are crucial.
- Further research into preventative measures and treatment protocols for post-operative mycotic aneurysms is suggested.
Related Concept Videos
Aortic Regurgitation I: Introduction
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aneurysm I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm III: Interprofessional Care

