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Celiac Trunk Mycotic Aneurysm: Diagnosis and Treatment of a Post-infective Endocarditis Complication

Daniela Gabrielli1, Paolo Pagano1, Mariavirginia Boni2

  • 1Unit of Interventional Radiology, "C. e G. Mazzoni" Hospital, Ascoli Piceno, Italy.

Vascular and Endovascular Surgery
|July 11, 2022
PubMed

Insights

Pseudoaneurysms, rare after infective endocarditis (IE), pose significant risks. This case highlights endovascular treatment as a primary strategy for managing celiac trunk pseudoaneurysms complicating IE.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Interventional Radiology

Background:

  • Pseudoaneurysms can arise from infectious arterial wall disruptions.
  • Infective endocarditis (IE) is an uncommon cause of pseudoaneurysms in the post-antibiotic era.
  • These complications are linked to high morbidity and mortality without timely diagnosis and treatment.

Observation:

  • A case of pseudoaneurysm in the celiac trunk is presented.
  • This pseudoaneurysm developed as a complication of infective endocarditis.
  • The patient's condition required prompt diagnostic and therapeutic intervention.

Findings:

  • The study details a specific instance of pseudoaneurysm formation.
  • It emphasizes the link between infective endocarditis and arterial pseudoaneurysms.
  • Endovascular treatment was identified as the preferred initial approach.

Implications:

  • Prompt diagnosis and management are crucial for improving outcomes in pseudoaneurysm cases.
  • Endovascular techniques offer a viable first-line treatment for complex arterial pseudoaneurysms.
  • This case contributes to understanding rare IE complications and their management.
Keywords:
infective endocarditisinterventional radiologymycotic aneurysmpseudoaneurysmstent graftvascular complication

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