False aneurysm of the ascending aorta concomitant with chronic mediastinitis after tube graft replacement in octogenarian.
An 81-year-old man developed impending rupture of a false aneurysm of the ascending aorta concomitant with chronic mediastinitis lasting for 10 years after tube graft replacement. He had undergone various infection-related mediastinal surgical procedures. He was successfully treated by debridement of infected tissues, patch repair of the false aneurysm, and transposition of the right latissimus dorsi muscle flap. The postoperative course was uneventful except for seromas. A chest computed tomographic scan performed 5 and 24 months after surgery showed no signs of recurrent aneurysm formation. A conservative surgical treatment including muscle flap transposition was effective in octogenarian.
Department of Cardiovascular Surgery, National Kyushu Medical Center Hospital, 1-8-1 Jigyohama, Chuo-ku, Fukuoka 810-8563, Japan. kawachiy@qmed.hosp.go.jp
Yoshito
Y
Kawachi
Atuhiro
A
Nakashima
Tatsushi
T
Onzuka
Toshihiko
T
Yamauchi
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002908:Chronic Disease; D020878:Device Removal; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D019616:Thoracic Surgical Procedures / Q000379:methods; D014057:Tomography, X-Ray Computed