{"id":"41cad260-a24e-4a21-91e5-1721a410aeca","slug":"short-term-aneurysm-formation-and-rupture-due-to-septic-embolism-diagnosed-with-a-thrombus-retrieved-from-another-occluded-artery","title":"Short-term aneurysm formation and rupture due to septic embolism diagnosed with a thrombus retrieved from another occluded artery","authors":["Ryotaro Nukata","Hiroyuki Ikeda","Natsuki Akaike","Yoshitaka Kurosaki","Toshio Fujiwara","Minami Uezato","Masanori Kinosada","Katsuro Shindo","Masaki Chin"],"abstract":"Background: In rare cases, septic embolism is diagnosed on the basis of pathological findings of retrieved thrombi. Infected aneurysms can rapidly form and rupture after septic embolism, leading to a poor prognosis. We report a case of subcortical hemorrhage due to an infected aneurysm forming shortly after septic embolism in the left anterior cerebral artery. Case Description: In this case, the diagnosis of septic embolism was made on the basis of pathological findings of a thrombus retrieved from the simultaneously occluded left middle cerebral artery, and endovascular embolization of the infected aneurysm was performed. Conclusion: The pathological findings of a retrieved thrombus were useful for making a diagnosis of septic embolism. The possibility of short-term formation and rupture of an infected aneurysm after septic embolism should be noted. Endovascular embolization of occluded vessels due to septic embolism may prevent aneurysm formation and subsequent bleeding.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/41cad260-a24e-4a21-91e5-1721a410aeca/featured/hero-1781560876898.png","publishDate":"2022-10-14T00:00:00.000Z","doi":"10.25259/SNI_727_2022","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/10/11924/SNI-13-474.pdf"}