Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis
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...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/7080813 |
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| author | Vy Thuy Ho Nathan K. Itoga Tiffany Wu Ehab Sorial Manuel Garcia-Toca |
| author_facet | Vy Thuy Ho Nathan K. Itoga Tiffany Wu Ehab Sorial Manuel Garcia-Toca |
| author_sort | Vy Thuy Ho |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f077395ffd674854bedf05003d8f74d7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f077395ffd674854bedf05003d8f74d72025-02-03T06:11:35ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/70808137080813Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative EndocarditisVy Thuy Ho0Nathan K. Itoga1Tiffany Wu2Ehab Sorial3Manuel Garcia-Toca4Department of Surgery, Division of Vascular Surgery, Stanford University, Stanford, CA, USADepartment of Surgery, Division of Vascular Surgery, Stanford University, Stanford, CA, USADepartment of Surgery, Division of Vascular Surgery, Stanford University, Stanford, CA, USADepartment of Surgery, Division of Vascular Surgery, Stanford University, Stanford, CA, USADepartment of Surgery, Division of Vascular Surgery, Stanford University, Stanford, CA, USAMycotic 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.http://dx.doi.org/10.1155/2018/7080813 |
| spellingShingle | Vy Thuy Ho Nathan K. Itoga Tiffany Wu Ehab Sorial Manuel Garcia-Toca Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis Case Reports in Surgery |
| title | Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis |
| title_full | Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis |
| title_fullStr | Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis |
| title_full_unstemmed | Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis |
| title_short | Mycotic Renal Artery Aneurysm Presenting as Critical Limb Ischemia in Culture-Negative Endocarditis |
| title_sort | mycotic renal artery aneurysm presenting as critical limb ischemia in culture negative endocarditis |
| url | http://dx.doi.org/10.1155/2018/7080813 |
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