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Mycotic aneurysms of the hepatic artery are usually caused by mycotic infection in patients suffering with bacterialendocarditis. Mycotic aneurysms have become very rare recently due to early intensive antibiotic treatment forinfective endocarditis. Despite of the non-specific symptoms, these aneurysms show a high possibility of suddendeath if thye ruptured. Therefore, early detection and surgical repair of aneurysms are very important. We reporthere on a case of hepatic artery mycotic aneurysm that presented as sudden shock and rupture. (Korean CirculationJ 2007;37:43-46)