A 49-year-old woman with tachycardia was referred to our institution. Transthoracic echocardiography revealed severe mitral regurgitation, and surgery was planned. While awaiting surgery, she developed a fever. Transthoracic echocardiography and transesophageal echocardiography revealed vegetation on the mitral valve leaflet. Blood cultures were positive for Streptococcus anginosus . She was diagnosed with infective endocarditis, and antibiotics were administered. She experienced sudden abdominal pain 26 days after hospitalization. Contrast-enhanced computed tomography scan revealed a mycotic superior mesenteric artery aneurysm with impending rupture without intestinal ischemia, and aneurysm resection was performed. Mitral valve replacement was performed on postoperative day 10, with uneventful postoperative healing.
Keyphrases
- mitral valve
- computed tomography
- contrast enhanced
- left ventricular
- coronary artery
- minimally invasive
- positron emission tomography
- abdominal pain
- left atrial
- magnetic resonance imaging
- coronary artery bypass
- diffusion weighted
- single cell
- dual energy
- patients undergoing
- abdominal aortic aneurysm
- surgical site infection
- image quality
- pulmonary hypertension
- magnetic resonance
- heart failure
- diffusion weighted imaging
- early onset
- climate change
- biofilm formation
- pseudomonas aeruginosa
- candida albicans
- staphylococcus aureus
- acute coronary syndrome
- escherichia coli
- coronary artery disease
- drug induced