Kuki S, Yoshida K, Suzuki K, Matsumura R, Okuda A
Department of Cardiovascular Surgery, Osaka Rosai Hospital, Sakai, Japan.
Eur J Cardiothorac Surg. 1994;8(9):508-10. doi: 10.1016/1010-7940(94)90024-8.
Mycotic aneurysm is usually found in the middle cerebral artery associated with infective endocarditis. Previous reports we have identified include only 4 cases of vertebrobasilar aneurysm. We report on a 29-year-old female who had multiple mycotic aneurysms involving both the carotid and vertebrobasilar systems complicated by intracranial hemorrhage with infective endocarditis, in whom staged operations, mitral valve replacement and craniotomies, were successfully performed.
霉菌性动脉瘤通常见于与感染性心内膜炎相关的大脑中动脉。我们所查阅的既往报告仅包括4例椎基底动脉瘤。我们报告1例29岁女性，其患有累及颈内动脉和椎基底动脉系统的多发性霉菌性动脉瘤，并合并感染性心内膜炎及颅内出血，该患者接受了分期手术，成功进行了二尖瓣置换术和开颅手术。
