title: Spontaneous disruption of mycotic aneurysm involving innominate artery.
abstract: 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.
authors.affiliation: Cardiovascular Center, National Health Insurance Corporation, Ilsan Hospital, Goyang, Korea.
authors.forename: Sungjin
authors.initials: S
authors.lastname: Oh
authors.forename: Young Won
authors.initials: YW
authors.lastname: Yoon
authors.forename: Gil Jin
authors.initials: GJ
authors.lastname: Jang
authors.forename: Jung Bae
authors.initials: JB
authors.lastname: Ahn
authors.forename: Gee pyo
authors.initials: Gp
authors.lastname: Hong
authors.forename: Gyung hoon
authors.initials: Gh
authors.lastname: Gang
authors.forename: Myun-sik
authors.initials: MS
authors.lastname: Gang
authors.forename: Yong uk
authors.initials: Yu
authors.lastname: Hong
authors.forename: Jung Hae
authors.initials: JH
authors.lastname: Gee
mesh_terms: 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