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2018 ; 2018
(ä): 7080813
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Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in
Culture-Negative Endocarditis
#MMPMID29854544
Ho VT
; Itoga NK
; Wu T
; Sorial E
; Garcia-Toca M
Case Rep Surg
2018[]; 2018
(ä): 7080813
PMID29854544
show ga
Mycotic renal artery aneurysms are rare and can be difficult to diagnose. Classic
symptoms such as hematuria, hypertension, or abdominal pain can be vague or
nonexistent. We report a case of a 53-year-old woman with a history of
intravenous drug abuse presenting with critical limb ischemia, in which CT
angiography identified a mycotic renal aneurysm. This aneurysm tripled in size
from 0.46?cm to 1.65?cm in a 3-week interval. Echocardiography demonstrated
aortic valve vegetations leading to a diagnosis of culture-negative endocarditis.
The patient underwent primary resection and repair of the aneurysm, aortic valve
replacement, and left below-knee amputation after bilateral common iliac and left
superficial femoral artery stenting. At 1-year follow-up, her serum creatinine is
stable and repaired artery remains patent.