Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report
We present a rare case of a 25-year-old woman with rheumatic heart disease who developed a superior mesenteric artery pseudoaneurysm (SMAPA) following infective endocarditis (IE). Initially, she presented with chest pain, dyspnea, and fever, leading to the diagnosis of IE and severe mitral regurgita...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e62772 |
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| creator | Al-Madhwahi, Nabil Y Al-Hashedi, Aref A Jowah, Haitham M |
| description | We present a rare case of a 25-year-old woman with rheumatic heart disease who developed a superior mesenteric artery pseudoaneurysm (SMAPA) following infective endocarditis (IE). Initially, she presented with chest pain, dyspnea, and fever, leading to the diagnosis of IE and severe mitral regurgitation. After six weeks of antimicrobial therapy, she developed persistent abdominal pain. Further evaluation revealed a mycotic SMAPA, which was successfully treated with open surgical repair. Postoperatively, her abdominal pain improved significantly, and she was discharged on postoperative day five. The current case underscores the importance of maintaining a high index of suspicion for mycotic pseudoaneurysms in patients with risk factors, even when they present with nonspecific symptoms. The findings also highlight the critical role of computed tomography angiography (CTA) in accurate diagnosis and preoperative planning. The favorable outcome supports current guidelines for managing mycotic SMA pseudoaneurysms in complex scenarios, emphasizing the need for adherence to established protocols and recommendations. |
| doi_str_mv | 10.7759/cureus.62772 |
| format | Article |
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Initially, she presented with chest pain, dyspnea, and fever, leading to the diagnosis of IE and severe mitral regurgitation. After six weeks of antimicrobial therapy, she developed persistent abdominal pain. Further evaluation revealed a mycotic SMAPA, which was successfully treated with open surgical repair. Postoperatively, her abdominal pain improved significantly, and she was discharged on postoperative day five. The current case underscores the importance of maintaining a high index of suspicion for mycotic pseudoaneurysms in patients with risk factors, even when they present with nonspecific symptoms. The findings also highlight the critical role of computed tomography angiography (CTA) in accurate diagnosis and preoperative planning. The favorable outcome supports current guidelines for managing mycotic SMA pseudoaneurysms in complex scenarios, emphasizing the need for adherence to established protocols and recommendations.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.62772</identifier><identifier>PMID: 39036122</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Asymptomatic ; Cardiovascular disease ; Case reports ; Dyspnea ; Endocarditis ; Heart ; Ischemia ; Medical diagnosis ; Medical imaging ; Mesentery ; Pain ; Patients ; Pseudoaneurysm ; Surgery ; Thrombosis ; Tomography ; Ultrasonic imaging ; Vegetation ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2024-06, Vol.16 (6), p.e62772</ispartof><rights>Copyright © 2024, Al-Madhwahi et al.</rights><rights>Copyright © 2024, Al-Madhwahi et al. 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The favorable outcome supports current guidelines for managing mycotic SMA pseudoaneurysms in complex scenarios, emphasizing the need for adherence to established protocols and recommendations.</description><subject>Abdomen</subject><subject>Asymptomatic</subject><subject>Cardiovascular disease</subject><subject>Case reports</subject><subject>Dyspnea</subject><subject>Endocarditis</subject><subject>Heart</subject><subject>Ischemia</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Mesentery</subject><subject>Pain</subject><subject>Patients</subject><subject>Pseudoaneurysm</subject><subject>Surgery</subject><subject>Thrombosis</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><subject>Vegetation</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkctKxDAUhoMoKjo71xJw48LRXNomdTeMlxEUxQsuSyY91UjbjLko8wy-tBlHRVz958DHzzl8CO1QcihEXh7p6CD6w4IJwVbQJqOFHEoqs9U_8wYaeP9CCKFEMCLIOtrgJeEFZWwTfdzFGThjHb4CD31Is8Yjl3KOr-bahrTeeIi1VT1EN_cdPrNta99N_4Qv-gZ0MG-AT_vaauVqE4zHpscK36hgUh9-NOEZ3z5D7NSiawLKBXxiPCgPx3iExynxLcysC9torVGth8F3bqGHs9P78WR4eX1-MR5dDjXNSzYspxpUnQlSg8jzrIHplJMMOOiC5AxEyUrRaF4omRVU6pJIymSts1ooEARKvoX2l70zZ18j-FB1xmto2_Sijb7iRHJGJc1pQvf-oS82uj5dt6AKUXCSZ4k6WFLaWe8dNNXMmU65eUVJtfBULT1VX54SvvtdGqcd1L_wjxX-CUapkCY</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Al-Madhwahi, Nabil Y</creator><creator>Al-Hashedi, Aref A</creator><creator>Jowah, Haitham M</creator><general>Cureus Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202406</creationdate><title>Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report</title><author>Al-Madhwahi, Nabil Y ; Al-Hashedi, Aref A ; Jowah, Haitham M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1592-9bcead470de7554febb304e3ec6052e79297fc36a84618c908128dc4d7ae70e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Asymptomatic</topic><topic>Cardiovascular disease</topic><topic>Case reports</topic><topic>Dyspnea</topic><topic>Endocarditis</topic><topic>Heart</topic><topic>Ischemia</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Mesentery</topic><topic>Pain</topic><topic>Patients</topic><topic>Pseudoaneurysm</topic><topic>Surgery</topic><topic>Thrombosis</topic><topic>Tomography</topic><topic>Ultrasonic imaging</topic><topic>Vegetation</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Madhwahi, Nabil Y</creatorcontrib><creatorcontrib>Al-Hashedi, Aref A</creatorcontrib><creatorcontrib>Jowah, Haitham M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Madhwahi, Nabil Y</au><au>Al-Hashedi, Aref A</au><au>Jowah, Haitham M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-06</date><risdate>2024</risdate><volume>16</volume><issue>6</issue><spage>e62772</spage><pages>e62772-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>We present a rare case of a 25-year-old woman with rheumatic heart disease who developed a superior mesenteric artery pseudoaneurysm (SMAPA) following infective endocarditis (IE). 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The favorable outcome supports current guidelines for managing mycotic SMA pseudoaneurysms in complex scenarios, emphasizing the need for adherence to established protocols and recommendations.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>39036122</pmid><doi>10.7759/cureus.62772</doi><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Abdomen Asymptomatic Cardiovascular disease Case reports Dyspnea Endocarditis Heart Ischemia Medical diagnosis Medical imaging Mesentery Pain Patients Pseudoaneurysm Surgery Thrombosis Tomography Ultrasonic imaging Vegetation Veins & arteries |
| title | Superior Mesenteric Artery Mycotic Pseudoaneurysm Following Infective Endocarditis in a Patient With Rheumatic Heart Disease: A Case Report |
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