{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:20:25Z","timestamp":1755796825961,"version":"3.44.0"},"reference-count":7,"publisher":"SMC Media","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction:\u00a0Hepatic artery aneurysm (HAA) is a rare condition, comprising only 0.1% of all arterial aneurysms, yet it is the most common visceral pseudoaneurysm with a 20% prevalence among such cases. Mycotic HAA in the context of infective endocarditis is uncommon and results from microbial invasion and arterial wall damage. Case description:\u00a0A 73-year-old woman with coronary artery disease, atrial fibrillation, repaired mitral valve prolapse and on warfarin presented with sudden left lower quadrant abdominal pain. She was hypotensive (BP 60\/45 mmHg) and exhibited periumbilical tenderness. Laboratory findings included white blood cell count 18,000 cells\/\u00b5l, haemoglobin 7.7 g\/dl, platelets 1,023,000\/\u00b5l, aspartate transferase 509 U\/l, alanine transaminase 313 U\/l and positive SARS-CoV-2. Non-contrast CT of the abdomen\/pelvis revealed haemoperitoneum, rectus sheath haematoma and a hypodense hepatic lesion. Contrast-enhanced CT confirmed a left hepatic lobe pseudoaneurysm, supported by Doppler ultrasound. Coil embolisation of the pseudoaneurysm stabilised the patient\u2019s haemodynamics. Blood cultures grew\u00a0Staphylococcus epidermidis, prompting treatment with meropenem and vancomycin due to her prosthetic mitral valve. Transthoracic echocardiogram showed valve vegetation, though a transoesophageal echocardiogram later revealed no vegetations. Follow-up imaging showed a stable thrombosed pseudoaneurysm. The patient remained stable and was transferred for mitral valve replacement. Blood cultures remained negative, but antibiotics were continued for six weeks. Warfarin was resumed without further bleeding. Conclusion:\u00a0Mycotic HAAs \u2013 though rare \u2013 can be life-threatening, especially in anticoagulated patients with prosthetic valves. They often present only upon rupture. Prompt diagnosis, vascular intervention and empirical antibiotic therapy are essential for successful outcomes.<\/jats:p>","DOI":"10.12890\/2025_005606","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:21:01Z","timestamp":1752232861000},"source":"Crossref","is-referenced-by-count":0,"title":["A rare confluence: hepatic artery aneurysm and infective endocarditis in a patient with a mitral valve prosthesis"],"prefix":"10.12890","volume":"12","author":[{"given":"Fnu","family":"Arty","sequence":"first","affiliation":[{"name":"Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreya","family":"Devarashetty","sequence":"first","affiliation":[{"name":"Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anoohya","family":"Vangala","sequence":"first","affiliation":[{"name":"Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai R.","family":"Gaddameedi","sequence":"first","affiliation":[{"name":"Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doantrang","family":"Du","sequence":"first","affiliation":[{"name":"Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"10.12890\/2025_005606_ref1","doi-asserted-by":"crossref","unstructured":"Boukobza M, Ilic-Habensus E, Arregle F, Habib G, Duval X, Laissy JP. Hepatic artery aneurysms in infective endocarditis: report of 10 cases and literature review. Ann Vasc Surg 2024;105:252\u2013264. doi: 10.1016\/j.avsg.2024.01.013","DOI":"10.1016\/j.avsg.2024.01.013"},{"key":"10.12890\/2025_005606_ref2","doi-asserted-by":"crossref","unstructured":"Boukobza M, Ilic-Habensus E, Duval X, Laissy JP. Predictors of visceral infectious aneurysms in patients with infective endocarditis and systemic embolization. J Cardiovasc Dev Dis 2025;12:57. doi: 10.3390\/jcdd12020057","DOI":"10.3390\/jcdd12020057"},{"key":"10.12890\/2025_005606_ref3","doi-asserted-by":"crossref","unstructured":"Chaudhari D, Saleem A, Patel P, Khan S, Young M, LeSage G. Hepatic artery mycotic aneurysm associated with staphylococcal endocarditis with successful treatment: case report with review of the literature. Case Reports Hepatol 2013;2013:610818. doi: 10.1155\/2013\/610818","DOI":"10.1155\/2013\/610818"},{"key":"10.12890\/2025_005606_ref4","doi-asserted-by":"crossref","unstructured":"Serban AM, Pepine D, Inceu A, Dadarlat A, Achim A. Embolic risk management in infective endocarditis: predicting the \u2018embolic roulette\u2019. Open Heart 2025;12:e003060. doi: 10.1136\/openhrt-2024-003060","DOI":"10.1136\/openhrt-2024-003060"},{"key":"10.12890\/2025_005606_ref5","doi-asserted-by":"crossref","unstructured":"Obara H, Kentaro M, Inoue M, Kitagawa Y. Current management strategies for visceral artery aneurysms: an overview. Surg Today 2020;50:38\u201349. doi: 10.1007\/s00595-019-01898-3","DOI":"10.1007\/s00595-019-01898-3"},{"key":"10.12890\/2025_005606_ref6","doi-asserted-by":"crossref","unstructured":"Cheung PL, Lee YS, Tan CB, Lau HY, Siu CW, Chan CX, et al. Endovascular management of hepatic artery pseudoaneurysms: a case series. Vasc Specialist Int 2023;39:1. doi: 10.5758\/vsi.220053","DOI":"10.5758\/vsi.220053"},{"key":"10.12890\/2025_005606_ref7","doi-asserted-by":"crossref","unstructured":"Jordan M, Razvi S, Worthington M. Mycotic hepatic artery aneurysm complicating Staphylococcus aureus endocarditis: successful diagnosis and treatment. Clin Infect Dis 2004;39:756\u2013757. doi: 10.1086\/423279","DOI":"10.1086\/423279"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5606\/4744","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5606\/4745","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5606\/4745","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T10:10:19Z","timestamp":1755511819000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/5606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,11]]},"references-count":7,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.12890\/2025_005606","relation":{"has-manifestation":[{"id-type":"other","id":"1-128-5606-g4744","asserted-by":"subject"},{"id-type":"other","id":"1-128-5606-g4745","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-128","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2025,7,11]]}}}