Mycotic aneurysm of the aortic arch due to Salmonella.
We report the successful treatment of a 79-year-old man with an extremely rare mycotic aneurysm of the aortic arch due to Salmonella. The patient presented with persistent fever, hoarseness, and hemosputum. Computed tomography showed a large saccular aneurysm with a hazy aortic wall in the aortic arch. We conducted emergency total arch replacement, debriding surrounding infectious tissue. Cultures from the aneurysm grew Salmonella enteritidis. Infection recurred 1 week postoperatively, requiring open irrigation and omentum transposition. These surgical procedures, along with appropriate antibiotics, brought infection under control.
Nakamura
Yoshitsugu
Y
Department of Surgery II, Ehime University School of Medicine, Ehime, Japan.
Kawachi
Kanji
K
Imagawa
Hiroshi
H
Watanabe
Yuji
Y
Hamada
Yoshihiro
Y
Tsunooka
Nobuo
N
D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012480:Salmonella Infections / Q000150:complications*; D012477:Salmonella enteritidis / Q000302:isolation & purification