Graft replacement and muscle wrap for infected aneurysm of thoracic aorta.
A 68-year-old man was admitted with high fever and enlargement of the distal aortic arch on chest radiography. Computed tomography showed a huge proximal descending thoracic aortic aneurysm. Graft replacement of the proximal descending thoracic aorta was performed on an emergency basis, and a pectoralis major muscle flap was wrapped around the graft. Salmonella enteritidis was detected in the resected tissue. The patient recovered well, with no signs of infection.
Sakaki
Masayuki
M
Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. msakaki@oph.gr.jp
Takano
Hiroshi
H
Miyamoto
Yuji
Y
Sawa
Yoshiki
Y
Matsumiya
Goro
G
Matsuda
Hikaru
H
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000637:transplantation*; D012480:Salmonella Infections / Q000150:complications*; D012477:Salmonella enteritidis / Q000302:isolation & purification; D013524:Surgical Flaps; D016896:Treatment Outcome