{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:49:42Z","timestamp":1760057382585,"version":"build-2065373602"},"reference-count":29,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Background: To study whether infective endocarditis patients (IE-patients) with visceral embolic events (VEEs) at admission are at greater risk of developing visceral infectious aneurysms (VIAs) in left-sided infective endocarditis (LSIE) patients. Methods: We compared the data of prospectively collected 474 consecutive LSIE-patients (2005\u20132020) with and without VIAs. A whole-body-CTA was part of the initial work-up for all patients. Results: A total of 24 patients (5.1%) with VIA were included, of whom 19 (79.2%) had at least one VEE, compared to a proportion of 34% (p &lt; 0.001) in IE-patients without VIAs. Both groups also differed in terms of vegetation size (&gt;15 mm: 48% vs. 18%, p &lt; 0.001), microorganisms, Streptococcus spp. (68.5% vs. 42%, p = 0.003), rare microorganisms (36% vs. 8.3%, p &lt; 0.001) and concomitant extra-visceral infectious aneurysms (42% vs. 12.8%, p &lt; 0.001). Cardiac surgery was performed in 21 patients (87.5%) and in-hospital mortality occurred in 2 (8%). Conclusions: This study shows a different profile of VIA\u2013LSIE patients compared to LSIE-patients without. Streptococcus species were the most frequent causal agents. Our study indicates that the presence of VEEs in LSIE-patients could suggest an increased risk of VIA. This study also shows the need for further abdominal-CTA in all cases of left sided IE to detect asymptomatic visceral aneurysms.<\/jats:p>","DOI":"10.3390\/jcdd12020057","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T10:57:53Z","timestamp":1738666673000},"page":"57","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Visceral Infectious Aneurysms in Patients with Infective Endocarditis and Systemic Embolization"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8691-9004","authenticated-orcid":false,"given":"Monique","family":"Boukobza","sequence":"first","affiliation":[{"name":"Department of Radiology, Bichat-Claude Bernard Hospital, Assistance Publique-H\u00f4pitaux de Paris, 75018 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emila","family":"Ilic-Habensus","sequence":"additional","affiliation":[{"name":"Clinical Investigation Center, Hopital Bichat-Claude-Bernard, Assistance Publique-H\u00f4pitaux de Paris, 75018 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Duval","sequence":"additional","affiliation":[{"name":"Clinical Investigation Center, Hopital Bichat-Claude-Bernard, Assistance Publique-H\u00f4pitaux de Paris, 75018 Paris, France"},{"name":"INSERM Clinical Investigation Center 007, 75015 Paris, France"},{"name":"INSERM U738, Paris University, 75016 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0682-1809","authenticated-orcid":false,"given":"Jean-Pierre","family":"Laissy","sequence":"additional","affiliation":[{"name":"Department of Radiology, Bichat-Claude Bernard Hospital, Assistance Publique-H\u00f4pitaux de Paris, 75018 Paris, France"},{"name":"INSERM U1148, Paris University, 75018 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). 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