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Hepatic artery aneurysm in a 10-year-old boy as a complication of infective endocarditis
F Senocak1, S Cekirge, M E Senocak
1Pediatric Cardiology Unit, Dr Sami Ulus Children's Hospital, Ankara, Turkey.
Abstract:
Mycotic aneurysms occur from septic emboli in patients with infective endocarditis and may involve any artery, but frequently they are not detected before autopsy. The most common sites are the brain, abdominal aorta, sinus of Valsalva, ligated ductus arteriosus, and superior mesenteric, splenic, coronary, and pulmonary arteries. The authors report on a 10-year-old boy who had a mycotic aneurysm of the common hepatic artery, which developed during the course of infective endocarditis of the mitral valve and was cured successively using a platinum coil embolization technique.
Insights
Mycotic aneurysms, often missed in infective endocarditis patients, can affect any artery. This case highlights successful treatment of a hepatic artery mycotic aneurysm in a child using platinum coil embolization.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Pediatric Cardiology
Background:
- Mycotic aneurysms arise from septic emboli, commonly complicating infective endocarditis.
- They can affect various arteries but are often diagnosed posthumously.
- Commonly affected sites include the brain, aorta, and major visceral arteries.
Observation:
- A 10-year-old boy presented with a mycotic aneurysm of the common hepatic artery.
- This condition developed secondary to infective endocarditis affecting the mitral valve.
- The aneurysm was located in the common hepatic artery, a less common site.
Findings:
- The mycotic aneurysm of the common hepatic artery was successfully treated.
- The treatment involved a platinum coil embolization technique.
- This minimally invasive approach achieved a cure for the mycotic aneurysm.
Implications:
- Early diagnosis and intervention for mycotic aneurysms are crucial.
- Platinum coil embolization offers a viable treatment option for mycotic aneurysms.
- This case expands understanding of mycotic aneurysm management in pediatric patients.