Cerebral mycotic aneurysm as a consequence of infective endocarditis: A literature review

The CMAs are risky due to their potential consequences of cerebral hernia and aneurysmal rupture. The treatment of this entity is always challenging as it is difficult to determine the timing of the cerebral and cardiac operations concerning the necessity of heparinization in cardiac surgery. Sufficient antibiotics have to be used in IE patients in order to prevent from the potential consequence as CMAs. The choices of treatment for CMAs depend on the conditions of CMAs. They are curable to either conservative, endovascular or surgical management in selected patients. At least a 2-week interval between clipping or surgical excision of the aneurysm and the cardiac procedure is recommended in patients with a ruptured CMA.