Acute type B aortic dissection complicated with a mycotic aortic arch aneurysm

A successfully-treated case of acute type B aortic dissection associated with a mycotic aneurysm is reported. A 69-year-old man had a history of febrile illness and a high CRP level with increased enzyme activity of the hepatobiliary system before the onset. The culture of the abscess in the distal...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2003-10, Vol.51 (10), p.545-547
Main Authors: Matsuyama, Katsuhiko, Matsumoto, Masahiko, Sugita, Takaaki, Nishizawa, Junichiro, Kawanishi, Yujiro, Uehara, Kyokun
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Infected - complications
Aortic Aneurysm - complications
Aortic Aneurysm - diagnostic imaging
Aortic dissection
Blood Vessel Prosthesis Implantation
Cholera Toxin
Humans
Male
Radiography
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Summary:A successfully-treated case of acute type B aortic dissection associated with a mycotic aneurysm is reported. A 69-year-old man had a history of febrile illness and a high CRP level with increased enzyme activity of the hepatobiliary system before the onset. The culture of the abscess in the distal arch aneurysm revealed Bacteroides fragilis. A Dacron graft replacement between the distal arch and the proximal descending aorta was successfully performed with Teflon felt reinforcement, and the graft was covered with omental flap. The patient was discharged without recurrence of infection 2 months after the graft replacement.
ISSN:1344-4964
1863-6705
1863-6713
DOI:10.1007/s11748-003-0121-5