Spontaneous disruption of mycotic aneurysm involving innominate artery.
We report a case of ruptured mycotic aneurysm involving innominate artery requiring an urgent surgical treatment. A 62-yr-old woman presented with fever and dyspnea. Previously, she was diagnosed with colon cancer and received right hemicolectomy and one cycle of adjuvant chemotherapy. On echocardiogram, pericardial effusion was noted and emergency pericardiocentesis was performed. CT scan revealed aortic aneurysm involving ascending aorta and innominate artery, and thrombi surrounding those structures. Patch repair of the defect in the ascending aorta and ringed Goretex graft to bypass the innominate and ascending aorta were performed. We believe that this is the first case of ruptured mycotic aneurysm involving innominate artery.
Oh
Sungjin
S
Cardiovascular Center, National Health Insurance Corporation, Ilsan Hospital, Goyang, Korea.
Yoon
Young Won
YW
Jang
Gil Jin
GJ
Ahn
Jung Bae
JB
Hong
Gee pyo
Gp
Gang
Gyung hoon
Gh
Gang
Myun-sik
MS
Hong
Yong uk
Yu
Gee
Jung Hae
JH
D000785:Aneurysm, Infected / Q000601:surgery*; D001011:Aorta / Q000473:pathology; D001014:Aortic Aneurysm / Q000601:surgery; D016122:Brachiocephalic Trunk / Q000473:pathology; D003110:Colonic Neoplasms / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D019737:Transplants