Mycotic pseudoaneurysm of the ascending aorta after mediastinitis in an infant.
Mycotic pseudoaneurysm of the aorta is a rare disease in children. We report our experience with a postoperative mycotic pseudoaneurysm of the ascending aorta secondary to mediastinitis after a modified Fontan procedure. The pseudoaneurysm was successfully repaired using an autologous pericardial patch through a right thoracotomy under total circulatory arrest. During 6 months of postoperative follow-up, there were no recurrences of pseudoaneurysm formation.
Miyaji
Kagami
K
Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, 2-138-4 Mutsugawa, Minami-ku, Yokohama, Japan. kagami111@aol.com
Nagata
Nobuhiro
N
Matsui
Hikoro
H
Yamamoto
Tetsushi
T
D000785:Aneurysm, Infected / Q000382:microbiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000382:microbiology* / Q000601:surgery; D002675:Child, Preschool; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000382:microbiology / Q000601:surgery; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000209:etiology* / Q000601:surgery; D013211:Staphylococcus aureus