Mycotic intracranial aneurysm in infective endocarditis of the mitral valve
Trappe, H.J.; Daniel, W.G.; Gaab, M.; Patzold, U.; Frank, G.; Panning, B.; Lichtlen, P.R.
Zeitschrift für Kardiologie 75(11): 691-694
1986
ISSN/ISBN: 0300-5860 PMID: 3101300 Document Number: 273785
A 20-year-old woman suffering from mitral valve endocarditis due to streptococcus faecalis infection after blunt trauma and splenectomy complained of severe headache 18 days later. Cerebral angiography showed a left posterior artery aneurysm. A craniotomy was performed and the aneurysm could be successfully removed. The postoperative neurological status showed a mild transient right hemiparesis. The patient underwent mitral valve replacement with a St. Jude-Medical prosthesis 14 days after brain surgery. The patient was in stable neurologic and hemodynamic conditions at the time of discharge 3 weeks after valve replacement.