PMID: 28496080May 13, 2017Paper

Surgical Experience of Infective Aneurysm of Brachial Artery Complicated with Infective Mitral Valve Endocarditis

Kyobu geka. The Japanese journal of thoracic surgery
Kaoru KikuyamaMitsuaki Sadahiro

Abstract

We report a rare case of aneurysmal formation of the left brachial artery complicated with infective endocarditis of the mitral valve. A 67-year-old man was referred to our institution for further examination of pulsatile mass at the left upper extremity. Computed tomography showed a left brachial arterial aneurysm with a diameter of 4 cm and gradual expansion of the aneurysm was also recognized. Furthermore, echocardiography revealed severe mitral valve regurgitation with a vegetation. There was no feature of congestive heart failure. He was diagnosed with subacute infective endocarditis and infective left brachial arterial aneurysm. Considering these clinical findings, staged surgical treatment was planned. He underwent resection of the brachial arterial aneurysm and bypass grafting with an autologous saphenous vein on an urgent basis. One month after the initial operation, elective mitral valve plasty was successfully performed. Although aneurysmal formation of the brachial artery subsequent to infective endocarditis is rare, we should keep this potentially serious complication in mind.

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
M ShinonagaS Kasuya
Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular
Heraldo Guedis Lobo FilhoPatrícia Leal Dantas Lobo
General Thoracic and Cardiovascular Surgery
Wataru HashimotoKiyoyuki Eishi
Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē
Fotios MitropoulosChristodoulos Stefanadis
© 2022 Meta ULC. All rights reserved