Mycotic aneurysm of the tibioperoneal trunk: a first manifestation of an infected endocarditis

Authors

  • Sergio Quilici Belczak Faculdade São Camilo; Hospital Geral de Carapicuiba; Serviço de Cirurgia Vascular
  • Igor Rafael Sincos Faculdade São Camilo; Hospital Geral de Carapicuiba; Serviço de Cirurgia Vascular
  • Marcelo Passos Teivelis Universidade de São Paulo; Hospital das Clínicas; Serviço de Cirurgia Vascular
  • Carlos Alberto Sian de Oliveira Universidade de São Paulo; Hospital das Clínicas; Serviço de Cirurgia Vascular
  • Hélio Fragoso Faculdade São Camilo; Hospital Geral de Carapicuiba; Serviço de Cirurgia Vascular
  • Ricardo Aun Hospital Israelita Albert Einstein

Keywords:

Aneurysm, Infected, Tibial arteries, Endocarditis, Venous thrombosis, Review

Abstract

Infrapopliteal mycotic aneurysm resulting from endocarditis is rare, with only a few reported cases. We describe the case of a 28-year-old male patient who was suffering with pain and edema in the right leg. The ultrasound revealed an aneurysm of the right tibioperoneal trunk and a deep vein thrombosis (DVT). The patient was admitted and developed acute congestive heart failure, being diagnosed with possible endocarditis. A pseudo-aneurysm was revealed by arteriography. Aggressive antibiotic treatment was initiated, and open surgery confirmed a mycotic pseudo-aneurysm of the tibioperoneal trunk. To our knowledge, this is the 8th case reported of an infected aneurysm in this particular location.

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Published

2012-06-01

Issue

Vol. 54 No. 3 (2012)

Section

Case Report

How to Cite

Belczak, S. Q., Sincos, I. R., Teivelis, M. P., Oliveira, C. A. S. de, Fragoso, H., & Aun, R. (2012). Mycotic aneurysm of the tibioperoneal trunk: a first manifestation of an infected endocarditis . Revista Do Instituto De Medicina Tropical De São Paulo, 54(3), 171-174. https://revistas.usp.br/rimtsp/article/view/31472