[A case report of mycotic false aortic aneurysm associated with aortic regurgitation].
The patient was 63-year-old man, who underwent patch closure of VSP 37 days after onset. LVAD was required for weaning from CPB. Mediastinitis occurred after LVAD was removed. The mediastinum was irrigated using diluted antibiotics through the retrosternal drain. He discharged on 79th day postoperatively. False aortic aneurysm and marked AR was pointed out by cineangiography and enhanced CT scan two years after operation. AVR was performed through right thoracotomy, because false aortic aneurysm invaded the sternum. The aneurysmal wall was repaired with patch. Postoperatively, peritoneal dialysis was performed for two days. Flail chest made difficult weaning from the respirator. He died 11 days postoperatively due to respiratory failure. There remains the possibility that mediastinitis resulted in false aortic aneurysm and AR. It was esseutial to remove the foreign materials placed on the aorta for eradication of infection.
Hagiwara
K
K
Hamada
O
O
Itabashi
K
K
Hoshino
S
S
Iwaya
F
F
Igari
T
T
Tanji
M
M
Watanabe
M
M
Motoki
R
R
D000785:Aneurysm, Infected / Q000209:etiology*; D001014:Aortic Aneurysm / Q000209:etiology*; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged