Mycotic Pseudoaneurysm of the Tibioperoneal Trunk and Posterior Tibial Artery

International Journal of Case Studies, Volume 5, Issue 12, Dec-2016

6 Pages Posted: 10 Jan 2017

See all articles by Gustavo Schaitza

Gustavo Schaitza

Hospital Marcelino Champagnat

Paula Costa

Pontifical Catholic University of Parana

José Faria Neto

Pontifical Catholic University of Parana

Júlio Francisco

Pontifical Catholic University of Parana

Luiz Guarita-Souza

Pontifical Catholic University of Parana

Date Written: December 2016

Abstract

Mycotic aneurysms are an uncommon complication of infective endocarditis. Aneurysms located in the infrapopliteal arteries are very rare. We report a case of a 37-year-old male patient presenting cough, fever, night sweats, shortness of breath and weight loss, who acutely developed a sharp pain and edema in his right calf, firstly diagnosed as a deep venous thrombosis. Further investigation of his symptoms identified its etiology as an infective endocarditis. Antibiotic therapy was initiated. However, the patient’s clinical condition deteriorated and he was submitted to an aortic valve and a mitral replacement successfully. The leg pain and edema persisted after the surgical procedure and the investigation continued. A Doppler ultrasound test and an angiography revealed a pseudoaneurysm located in the right tibioperoneal trunk and in the upper third of the posterior tibial artery. The pseudoaneurysm was treated through endovascular percutaneous embolization and with two Gugliemi detachable coils.

Keywords: Mycotic Aneurysm, Pseudoaneurysm, Infective Endocarditis, Septic Embolization, Tibioperoneal Trunk

Suggested Citation

Schaitza, Gustavo and Costa, Paula and Faria Neto, José and Francisco, Júlio and Guarita-Souza, Luiz, Mycotic Pseudoaneurysm of the Tibioperoneal Trunk and Posterior Tibial Artery (December 2016). International Journal of Case Studies, Volume 5, Issue 12, Dec-2016, Available at SSRN: https://ssrn.com/abstract=2895257

Gustavo Schaitza (Contact Author)

Hospital Marcelino Champagnat ( email )

Av. Presidente Affonso Camargo
1399 - Cristo Rei
Curitiba, 80050-370
Brazil

Paula Costa

Pontifical Catholic University of Parana

Rua Imaculada Conceicao, 155
Curitiba-Parana, 80215-910
Brazil

José Faria Neto

Pontifical Catholic University of Parana

Rua Imaculada Conceicao, 155
Curitiba-Parana, 80215-910
Brazil

Júlio Francisco

Pontifical Catholic University of Parana

Rua Imaculada Conceicao, 155
Curitiba-Parana, 80215-910
Brazil

Luiz Guarita-Souza

Pontifical Catholic University of Parana

Rua Imaculada Conceicao, 155
Curitiba-Parana, 80215-910
Brazil

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