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A Sizable Aortic Root Paravalvular Mycotic Pseudoaneurysm

Ahmad Saeed Azhar1, Noran M Abu-Ouf1

  • 1Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Case Reports in Cardiology
|November 4, 2016
PubMed

Insights

Mycotic aneurysms, infections of the aorta, are rare but deadly. This case report details a fatal outcome in a 13-year-old, highlighting diagnostic and treatment challenges in pediatric patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pediatric Medicine

Background:

  • Mycotic aneurysm, an infection of the aorta, is a rare but serious condition with high mortality.
  • First identified in 1885, it is often associated with malignant endocarditis.
  • Prevalence is estimated at 0.7-2.6% of all aortic aneurysms, posing significant diagnostic and therapeutic challenges.

Purpose of the Study:

  • To report a rare case of mycotic aneurysm in a pediatric patient.
  • To emphasize the diagnostic and treatment difficulties associated with this condition.
  • To highlight the rarity of such cases in specific regions.

Main Methods:

  • Case report of a 13-year-old pediatric patient.
  • Review of clinical presentation, diagnostic process, and treatment course.
  • Analysis of the case within the context of existing literature and regional incidence.

Main Results:

  • The patient, a 13-year-old, was diagnosed with a mycotic aneurysm.
  • The condition progressed rapidly, leading to a terminal outcome before adequate treatment could be initiated.
  • This represents the only documented case in Saudi Arabia over the past decade.

Conclusions:

  • Mycotic aneurysms require high clinical suspicion, especially in pediatric cases.
  • Prompt diagnosis and effective treatment are crucial but challenging.
  • This case underscores the critical need for awareness and improved management strategies for pediatric mycotic aneurysms.

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