title: Mycotic pseudoaneurysm of the ascending aorta at site of aortic cannulation.
abstract: Reoperation for pseudoaneurysm of the ascending aorta presents a surgical challenge. Instituting femorofemoral bypass and establishing hypothermic circulatory arrest is a well-known strategy, although not free from complications. We report a case of mycotic pseudoaneurysm after coronary artery bypass in a 53-year-old man, at the site of previous aortic cannulation, and review the surgical strategies proposed to manage this pathologic entity.
authors.affiliation: Department of Cardiovascular Surgery, Charité Hospital, Medical University Berlin, Charitéplatz 1, D-10117 Berlin, Germany. dgabbieri@yahoo.it
authors.forename: Davide
authors.initials: D
authors.lastname: Gabbieri
authors.forename: Pascal M
authors.initials: PM
authors.lastname: Dohmen
authors.forename: Jörg
authors.initials: J
authors.lastname: Linneweber
authors.forename: Alexander
authors.initials: A
authors.lastname: Lembcke
authors.forename: Christian
authors.initials: C
authors.lastname: von Heymann
authors.forename: Wolfgang F
authors.initials: WF
authors.lastname: Konertz
mesh_terms: D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D019917:Blood Vessel Prosthesis Implantation; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents