Mycotic aneurysm and infective endocarditis: Data from a French bi-center study of 2483 patients

Background Mycotic aneurysm (MA) is rare but is a serious complication of infective endocarditis (IE). Purpose To evaluate the epidemiological, microbiological, diagnostic, therapeutic and prognostic data of patients with this complication. Methods In a French bi-center prospective study of patients who presented in our endocarditis reference centers with a diagnosis of definite IE from 1988 to 2017 (n = 2483), 101 (4%) presented MA. Results Patients with MA were younger (56 vs. 67y, P  Conclusion Our data highlight that MA in IE is associated with poor short-term prognosis, mainly due to neurological complications in his younger population. One of the future challenges should be the improvement of the diagnostic of MA in IE.