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Objectives: Ruptured mycotic pseudoaneurysms are rare, yet devastating complications that can prove challenging to manage. In immunocompromised populations, highly virulent organisms such as Gemella morbillorum can be especially difficult to combat. Here, we outline our approach to temporizing maneuvers in an emergent setting and definitive revascularization in a 27-year-old with a ruptured mycotic iliac artery pseudoaneurysm from necrosis of her kidney and pancreas allografts.

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  • Infective endocarditis (IE) can occur in adults with ventricular septal defects (VSD), and this case reports a rare instance involving systemic embolisms and aortic pseudoaneurysms.
  • A 27-year-old woman with a previously asymptomatic VSD presented with prolonged fever and was found to have staphylococcus infection, heart murmurs, and serious complications like mycotic aneurysms and embolisms.
  • The patient received targeted antibiotics and underwent urgent heart surgery, emphasizing the importance of checking for systemic embolism in right ventricle IE and noting that congenital VSD can lead to serious complications from bacteremia.
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Purulent Pericarditis and Mycotic Pseudoaneurysm of the Ascending Aorta: A Case Report.

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November 2024

Department of Surgery, The Warren Alpert Medical School, Brown University, Providence, USA.

Concomitant presentation of purulent pericarditis and mycotic pseudoaneurysm of the ascending aorta is exceedingly uncommon. We present a case of a 63-year-old male who presented to the emergency department after one week of severe neck pain along with pleuritic chest pain. He was found to have purulent pericarditis associated with a 0.

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  • Anastomotic pseudoaneurysms of interposition vein grafts are rare but serious complications in vascular surgery, particularly concerning the carotid arteries, requiring urgent intervention to avoid critical issues like rupture and thromboembolism.
  • A case report details a 49-year-old male who developed a false aneurysm after a carotid surgery complication and successfully underwent open surgical repair involving the removal of the affected graft and reconstruction using a vein graft from the subclavian artery.
  • The conclusion emphasizes that while endovascular techniques exist, open surgical repair remains the standard treatment for these pseudoaneurysms due to its ability to effectively address infection and ensure better long-term outcomes, suggesting that further research should continue to refine surgical strategies.
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  • - A 31-year-old woman experienced sudden weakness on her right side, leading to the discovery of a subarachnoid hemorrhage and a bleeding in the frontal area of her brain.
  • - Imaging tests showed a blockage in the left middle cerebral artery and a saccular aneurysm, which were confirmed through a cerebral angiogram.
  • - After surgery to remove the aneurysm, doctors found a partially blocked pseudoaneurysm, and further tests revealed she had infective endocarditis caused by a mitral valve infection.
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