Related Experiment Videos

Mycotic aneurysm of the popliteal artery due to infective endocarditis

Anjali Rajadhyaksha1, Archana Sonawale, Krantikumar Rathod

  • 1Department of Medicine, Seth G.S. Medical College and KEM Hospital, Mumbai.

The Journal of the Association of Physicians of India
|April 7, 2012
PubMed

Insights

Mycotic aneurysms are rare complications of infective endocarditis. This case highlights successful treatment of popliteal and profunda femoris artery aneurysms in a patient with endocarditis.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Mycotic aneurysm (MA) is a rare but serious complication of infective endocarditis (IE), typically affecting intracranial vessels.
  • Rheumatic heart disease and mitral regurgitation are predisposing factors for IE.

Observation:

  • A 32-year-old man with newly diagnosed rheumatic heart disease and mitral regurgitation developed IE.
  • During antibiotic therapy for IE, he developed a large mycotic popliteal artery aneurysm (MPAA) and a smaller profunda femoris arterial aneurysm (PFAA).

Findings:

  • The mycotic popliteal artery aneurysm (MPAA) was successfully treated with prolonged antibiotic therapy and embolization.
  • The profunda femoris arterial aneurysm (PFAA) was managed conservatively with antibiotics.

Implications:

  • This case underscores the importance of vigilant monitoring for peripheral mycotic aneurysms in IE patients, even during treatment.
  • Successful conservative and interventional management strategies for MPAA and PFAA in the context of IE are demonstrated.

Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...