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10.1155/2018/7080813

http://scihub22266oqcxt.onion/10.1155/2018/7080813
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C5964565!5964565!29854544
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suck abstract from ncbi


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pmid29854544      Case+Rep+Surg 2018 ; 2018 (ä): ä
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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): ä PMID29854544show 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.
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