Mycotic Aneurysm of Brachial Artery Secondary to Infective Endocarditis

INTRODUCTION: This case describes a brachial artery mycotic aneurysm (BAMA) secondary to infective endocarditis caused by Enterococcus faecalis. BAMAs are rare and potentially limb or life threatening. A literature review revealed 61 cases since 1950, primarily caused by intravenous drug use, with S...

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Detalles Bibliográficos
Autores principales: Simson, Rosie, Jacobs, Toby, Kulkarni, Sachin R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950785/
https://www.ncbi.nlm.nih.gov/pubmed/31922036
http://dx.doi.org/10.1016/j.ejvssr.2019.05.005
Descripción
Sumario:INTRODUCTION: This case describes a brachial artery mycotic aneurysm (BAMA) secondary to infective endocarditis caused by Enterococcus faecalis. BAMAs are rare and potentially limb or life threatening. A literature review revealed 61 cases since 1950, primarily caused by intravenous drug use, with Staphylococcus aureus being the most common causative bacteria. REPORT: A 71 year old man with known infective endocarditis presented with pulsatile swelling in his right antecubital fossa. A BAMA was confirmed on duplex scan. The patient underwent prompt extra-anatomic bypass with an ipsilateral cephalic vein graft. DISCUSSION: Bacterial endocarditis should be acknowledged as a cause of BAMA. Prompt diagnosis and intervention are essential.

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