Abstract
A 30-year-old female patient presented with headache and fever. She had aortic valve replacement in her medical history and was anticoagulated. The CT scan showed a subarachnoid hemorrhage (SAH). DSA revealed a small distal aneurysm of the left middle cerebral artery. The SAH was considered to have arisen due to the rupture of this very small distal mycotic aneurysm. The size and location of the aneurysm justified parent vessel occlusion as the treatment concept of choice. Both the aneurysm and its parent artery were therefore occluded by injecting nBCA diluted with Lipiodol. The patient was asymptomatic when she was discharged home after 15 days. The management of mycotic aneurysms is the main topic of this chapter.
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Chudyk, J., Scrivano, E., Perez, N., Bleise, C., Lylyk, P. (2018). Middle Cerebral Artery Aneurysm: Ruptured Mycotic Distal Aneurysm: Treatment by Deconstructive Technique Using a Liquid Embolic Agent. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_53-1
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DOI: https://doi.org/10.1007/978-3-319-70267-4_53-1
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