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Updated: Jun 6, 2026
07:34
Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects
Published on: May 11, 2011
Mycotic superior mesenteric pseudoaneurysm draining into a vein
Manabu Shiraishi1, Shinichi Ohki, Yoshio Misawa
1Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan. manabu@omiya.jichi.ac.jp
Interactive Cardiovascular and Thoracic Surgery
|November 25, 2010
Summary
A patient with schizophrenia presented with fever and fatigue, revealing mitral valve vegetation and a superior mesenteric artery aneurysm (SMAA). Surgical intervention and antibiotics successfully treated this rare dual condition.
Area of Science:
- Cardiology
- Vascular Surgery
- Infectious Diseases
Background:
- A 46-year-old male with a history of schizophrenia presented with fatigue and fever.
- This case highlights a rare concurrence of infective endocarditis and a large superior mesenteric artery aneurysm (SMAA).
Observation:
- Transthoracic echocardiography revealed a significant 17 mm vegetation on the mitral valve with mild regurgitation.
- Abdominal CT scan identified a markedly enlarged superior mesenteric artery aneurysm (SMAA).
Findings:
- The patient underwent successful surgical excision of the SMAA and double valve replacement.
- A six-week course of intravenous antibiotics was administered for treatment.
Implications:
- This case underscores the importance of comprehensive diagnostic evaluation in patients presenting with complex symptoms.
- Prompt surgical and antibiotic management is crucial for favorable outcomes in patients with co-existing cardiovascular and vascular emergencies.
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