A 57-year-old man presenting with hemoptysis and chest pain was diagnosed to have a Staphylococcus aureus mycotic aneurysm of the descending thoracic aorta, which subsequently ruptured into the left lower lobe of the lungs. He underwent successful repair with lung resection and Dacron graft replacement under hypothermic circulatory arrest, followed by long-term antibiotic therapy.
Get full access to this article
View all access options for this article.
References
1.
ChibaYMuraokaRIhayaAKimuraTMoriokaKNaraMSurgical treatment of infected thoracic and abdominal aortic aneurysms. Cardiovasc Surg1996; 4: 476–9.
2.
ChanPTsaiCWHuangJJChuangYCHungJS. Salmonellosis and mycotic aneurysm of the aorta. A report of 10 cases. J Infect1995; 30: 129–33.
3.
StalloneRJIversonLIYoungJN. Descending thoracic aortic aneurysm: a 10 year surgical experience. Am J Surg1981; 142: 106–8.
4.
PaganoDGuestPBonserRS. Homograft replacement of thoraco-abdominal aorta for a leaking mycotic aneurysm. Eur J Cardio-thorac Surg1996; 10: 383–5.
5.
AlonsoMCaeiroSCachaldoraJSeguraR. Infected abdominal aortic aneurysm: in situ replacement with cryopreserved arterial homograft. J Cardiovasc Surg (Torino)1997; 38: 371–5.
6.
BrownPMJr.KimVBLalikosJFDeatonDHBogeyWMPowellCS. Autologous superficial femoral vein for aortic reconstruction in infected fields. Ann Vasc Surg1999; 13: 32–6.
7.
CarrelTPasicMBinoMTurinaM. Recurrent rupture of a mycotic ascending aortic aneurysm: a surgical and medical challenge. Eur J Cardio-thorac Surg1992; 6: 158–60.
8.
PasicMCarrelTVogtMvon SegesserLTurinaM. Treatment of mycotic aneurysm of the aorta and its branches: the location determines the operative technique. Eur J Vasc Surg1992; 6: 419–23.
