Aortic mycotic aneurysm complicating infective endocarditis in a child

Abstract

Mycotic aneurysm is a rare complication of infective endocarditis in children. The main risk is rupture, causing a high mortality. We report the case of a boy aged three years without medical history, presented with cardiogenic shock. Echocardiography showed an echogenic pericardial effusion, heterogeneous with very dilated inferior vena cava and contrasting with non-dilated right cavities. Ruptured aortic mycotic aneurysm in the pericardium was discovered in intra operative view. Death occurred after hemorrhagic shock.