Recurrent rupture of a mycotic ascending aortic aneurysm: a surgical and medical challenge.
Infection in the vascular tree remains one of the greatest challenges for vascular surgeons. Despite technical advances and newer antibiotics, the morbidity and mortality remain high. The following case report underlines the complex factors encountered in a 62-year-old alcoholic patient presenting with a "classical" history of mycotic aneurysmal disease who suffered from recurrent rupture of the aneurysm of the ascending aorta. In situ reconstruction of the ascending aorta was performed with patch of xenopericardium. As demonstrated in this case, aggressive surgical management and long-term triple antibiotic therapy can salvage patients even with multiple complications in the early postoperative period.
Carrel
T
T
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
Pasic
M
M
Bino
M
M
Turina
M
M
D000437:Alcoholism / Q000150:complications; D000785:Aneurysm, Infected / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013203:Staphylococcal Infections / Q000601:surgery