Airway stenosis associated with a mycotic pseudoaneurysm of the common carotid artery.
A 56-year-old woman was seen who had been under hemodialysis treatment. In September 2003, the patient was sent to our hospital with fever and dyspnea, and artificial respiration was initiated. Bronchoscopy detected stenosis due to compression of the bronchus. Contrast computed tomography and angiography detected a pseudoaneurysm of the right common carotid artery. We performed emergency excision of the mycotic pseudoaneurysm, which was closed with an autologous pericardial patch. We also performed median sternotomy to obtain an adequate surgical view. A perfusion tube was inserted into the internal carotid artery. The inflammatory findings and dyspnea resolved postoperatively.
Masumoto
Hidetoshi
H
Department of Cardiovascular Surgery, Shizuoka City Hospital, 10-93 Ote-machi, Shizuoka 420-8630, Japan. hmasumoto@yahoo.co.jp
Shimamoto
Mitsuomi
M
Yamazaki
Fumio
F
Nakai
Masanao
M
Fujita
Shoji
S
Miura
Yujiro
Y
D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D000785:Aneurysm, Infected / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D015901:Angiography, Digital Subtraction; D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures