Homograft failure in mycotic aortic aneurysm caused by Streptococcus pneumoniae.
Treatment of a rare Streptococcus pneumoniae mycotic aneurysm by homograft replacement failed in a 59-year-old patient because of persistent lobar pneumonia. Despite reoperation with replacement of the infected homograft by a fresh one, he finally died of septicemia. This case illustrates that homograft tissue may be infected per continuum and that extensive debridement of periaortic tissue-including major lung resection-and the use of muscle flaps may be necessary in certain circumstances.
Berdat
P A
PA
Clinic for Thoracic and Cardiovascular Surgery and Medical Policlinic, University Hospital of Berne (Inselspital), Switzerland.
Malinverni
R
R
Kipfer
B
B
Carrel
T P
TP
D000785:Aneurysm, Infected / Q000601:surgery*; D001011:Aorta / Q000637:transplantation*; D001013:Aorta, Thoracic; D006801:Humans; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000601:surgery*; D014184:Transplantation, Homologous; D017211:Treatment Failure