Chronic aortic dissection (DeBakey type II) with infective thrombus in the false channel.
A 68-year-old man with a DeBakey type II chronic aortic dissection developed bacteremia secondary to a urinary tract infection with the Serratia species. This resulted in an infected thrombus in the false channel and a subsequent rupture of the ascending aorta. An emergency resection of the ascending aorta and a Dacron graft interposition were performed. The patient suffered from severe neurological insufficiency and died of pneumonia 6 months postoperatively. The optimal operation time and surgical options of an infected aortic dissection should be determined.
Matsubayashi
K
K
Second Department of Surgery, Shiga University of Medical Science, Japan. mazbysh@aol.com
Ueda
Y
Y
Ogino
H
H
Sugita
T
T
Yoshimura
S
S
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003952:Diagnostic Imaging; D004630:Emergencies; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D016868:Serratia Infections / Q000175:diagnosis* / Q000601:surgery; D012706:Serratia marcescens; D013927:Thrombosis / Q000175:diagnosis* / Q000601:surgery