Percutaneous coil embolisation of a false aortic aneurysm following coronary surgery and mediastinitis.
A 71-year-old male patient was admitted with methicillin-resistant staphylococcus aureus mediastinitis two months after coronary artery bypass grafting. Treatment with immediate surgical debridement, removal of sternal wires and use of vacuum-assisted closure device was started. Spiral computerised tomography and aortography revealed a false aortic aneurysm at the cannulation site. Active mediastinitis and the patient's objection to further surgery led us to perform percutaneous coil embolisation. No postoperative complication was observed and one year later the patient is in excellent condition.
Barbetakis
Nikolaos
N
Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki, Greece.
Xenikakis
Theocharis
T
Efstathiou
Andreas
A
Fessatidis
Ioannis
I
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001014:Aortic Aneurysm / Q000209:etiology / Q000628:therapy*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications / Q000382:microbiology; D011859:Radiography; D013530:Surgical Wound Infection / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome