RADIAL ARTERY MYOCOTIC ANEURYSM SECONDARY TO STREPTOCOCCUS BOVIS ENDOCARDITIS

  • Carolina Lobo Mendes Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • Roger Rodrigues Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • André Marinho Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • Juliana Varino Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • Luís Antunes Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • António Albuquerque Matos Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
  • Óscar Gonçalves Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar Universitário de Coimbra, Portugal
Keywords: Myocotic aneurysm, endocarditis

Abstract

Peripheral mycotic aneurysms are rare complications of infective endocarditis. The case of a 49-year-old man with a radial artery aneurysm in a context of infective endocarditis caused by Streptococcus bovis in the postoperative period of mechanical aortic valve replacement by homograft is reported. After diagnostic confirmation by Doppler scan, we chose to resect the aneurysmal sac with termino-terminal anastomosis. At 2 years of follow-up he presented asymptomatic, with palpable radial pulse and thriphasic flow in the palmar arch and ulnar artery.

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Published
2018-12-02
Section
Clinical Case