SUCCESSFUL SURGICAL-MANAGEMENT FOR MULTIPLE CEREBRAL MYCOTIC-ANEURYSMS INVOLVING BOTH CAROTID AND VERTEBROBASILAR SYSTEMS IN ACTIVE INFECTIVE ENDOCARDITIS

Mycotic aneurysm is usually found in the middle cerebral artery associ ated with infective endocarditis. Previous reports we have identified include only 4 cases of vertebrobasilar aneurysm. We report on a 29-ye ar-old female who had multiple mycotic aneurysms involving both the ca rotid and vertebrobasilar systems complicated by intracranial hemorrha ge with infective endocarditis, in whom staged operations, mitral valv e replacement and craniotomies, were successfully performed.