title: Acute type B aortic dissection complicated with a mycotic aortic arch aneurysm.
abstract: A successfully-treated case of acute type B aortic dissection associated with a mycotic aneurysm is reported. A 69-year-old man had a history of febrile illness and a high CRP level with increased enzyme activity of the hepatobiliary system before the onset. The culture of the abscess in the distal arch aneurysm revealed Bacteroides fragilis. A Dacron graft replacement between the distal arch and the proximal descending aorta was successfully performed with Teflon felt reinforcement, and the graft was covered with omental flap. The patient was discharged without recurrence of infection 2 months after the graft replacement.
authors: Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
authors: Katsuhiko
authors: K
authors: Matsuyama
authors: Masahiko
authors: M
authors: Matsumoto
authors: Takaaki
authors: T
authors: Sugita
authors: Junichiro
authors: J
authors: Nishizawa
authors: Yujiro
authors: Y
authors: Kawanishi
authors: Kyokun
authors: K
authors: Uehara
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D000785:Aneurysm, Infected / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation; D002772:Cholera Toxin; D006801:Humans; D008297:Male; D011859:Radiography
chemical_list: D002772:Cholera Toxin