A 68-year-old man was admitted with high fever and enlargement of the distal aortic arch on chest radiography. Computed tomography showed a huge proximal descending thoracic aortic aneurysm. Graft replacement of the proximal descending thoracic aorta was performed on an emergency basis, and a pectoralis major muscle flap was wrapped around the graft. Salmonella enteritidis was detected in the resected tissue. The patient recovered well, with no signs of infection.
Get full access to this article
View all access options for this article.
References
1.
LeeMHChanPChiouHJCheungWK. Diagnostic imaging of Salmonella-related mycotic aneurysm of aorta by CT. Clin Imaging1996;20:26–30.
2.
ChanFYCrawfordESCoselliJSSafiHJWilliamsTWJrIn situ prosthetic graft replacement for mycotic aneurysm of the aorta. Ann Thorac Surg1989;47:193–203.
3.
CinaCSArenaGOFitureAOClaseCMDoobayB. Ruptured mycotic thoracoabdominal aortic aneurysms: A report of three cases and a systematic review. J Vasc Surg2001;33:861–7.
4.
MullerBTWegenerORGrabitzKPillnyMThomasLSandmannW. Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg2001;33:106–13.
5.
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.
6.
ChibaYMuraokaRIhayaAKimuraTMoriokaKNaraM. Surgical treatment of infected thoracic and abdominal aortic aneurysms. Cardiovasc Surg1996;4:476–9.
7.
CoselliJSCrawfordESWilliamsTWJrBradshawMWWiemerDRHarrisRL. Treatment of postoperative infection of ascending aorta and transverse aortic arch, including use of viable omentum and muscle flaps. Ann Thorac Surg1990;50:868–81.
8.
HsuRBTsayYGWangSSChuSH. Surgical treatment for primary infected aneurysm of the descending thoracic aorta, abdominal aorta, and iliac arteries. J Vasc Surg2002;36:746–50.