Mycotic Superior Mesenteric Artery Pseudoaneurysm Following Infective Endocarditis in a Patient with Rheumatic Heart Disease: A Case Report

This is a report on a rare case of a 25-year-old female patient with a history of rheumatic heart disease who developed a superior mesenteric artery pseudoaneurysm (SMAPA) following infective endocarditis. The study highlights the challenges in diagnosing and managing visceral artery aneurysms and pseudoaneurysms, emphasizing the importance of early recognition and treatment to prevent life-threatening complications such as rupture and hemorrhage. The case presentation details the patient's symptoms, diagnostic evaluations, and surgical interventions, showcasing the complexities involved in managing such conditions. Furthermore, the discussion section delves into the clinical features, diagnostic modalities, and treatment options for mycotic SMAPAs, underscoring the significance of utilizing imaging techniques like CTA for accurate diagnosis. The case report emphasizes the critical role of timely intervention in reducing the risk of mortality associated with visceral artery pseudoaneurysms, particularly in cases with infective etiology.