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European Heart Journal 1985 6(11):985-988;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

Pulmonary mycotic aneurysms secondary to infective endocarditis in a patient with a persistent ductus arteriosus and partial anomalous pulmonary venous drainage

J. L. Caplin, D. S. Dymond, D. S. Barrett, R. S. O. Rees, G. M. Rees and R. A. J. Spurrell

Departments of Cardiology, Cardiothoracic Surgery and Radiology, St. Bartholomew's Hospital London, U.K.

Received 17 May 1985; revised 1 July 1985; .

Address for reprints: Dr J. L. Caplin, St. Bartholomew's Hospital, Weat Smithfield, London, EC 1A 7BE, England.

Abstract

Mycotic aneurysms are a rare but recognized complication of infective endocarditis. Aneuryms of the pulmonary artery are usually associated with infected congenital heart lesions and especially with persistent ductus arteriosus. This report deals with a patient with a persistent ductus who developed multiple mycotic aneurysms in the right lung following infective endocarditis, and whose management was complicated by anomalous venous drainage of most of the contralacteral lung. Surgical closure of the ductus to reduce pulmonary blood flow failed to prevent haemoptysis, and further surgery to ligate the feeder arteries to the aneurysms was required.

Key Words: Mycotic aneurysms • infective endocarditis • patent ductus • anomalous pulmonary venous drainage


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