The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(1):135-138.
증례 : 얕은 손바닥 동맥활에 진균성 동맥류가 발생한 감염성 심내막염 1예
길재숙, 한아름, 윤환식, 민양원, 권기태, 백경란, 송재훈
A case of infective endocarditis with a mycotic aneurysm of the superficial palmar arch
Jae Sook Kil, A Reum Han, Hwan Sik Yun, Yang Won Min, Ki Tae Kwon, Kyong Ran Peck, Jae Hoon Song
성균관대학교 의과대학 삼성서울병원 심장혈관센터 순환기내과


Abstract
Mycotic aneurysms occur in 3 to 15% of patients with infective endocarditis, and half of these cases involve the cerebral arteries. Intracranial mycotic aneurysms may heal with medical therapy, but most extracranial mycotic aneurysms will rupture if not excised. Mycotic aneurysms of the palmar arch have been very rarely reported and treated surgically. We describe the first Korean case of infective endocarditis with mycotic aneurysm of the superficial palmar arch, which was able to heal with only antimicrobial therapy.

Keywords :Endocarditis, Bacterial, Mycotic aneurysm
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