[Rupture of mycotic arch aneurysm due to Salmonella in an elderly patient].
An 80-year-old woman was admitted to the hospital for treatment of infected aortic arch aneurysm. Her C-reactive protein (CRP) was elevated to 24.2 mg/dl. We decided to operate after improvement of inflammatory reaction and physical status. However, sudden loss of consciousness occurred 9 days after admission. Chest X-ray revealed effusion and bleeding in the left pleural cavity. She was diagnosed with rupture of the aortic arch aneurysm and an emergency operation was performed. The aneurysm was treated by debridement of the infected aortic tissue, and total aortic arch replacement with a tube-graft was performed. Bacterial culture of the aneurysmal wall demonstrated Salmonella. Her postoperative course was uneventful. The patient remained well without any sign of wound infection.
Okamoto
Yuki
Y
Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, Japan.
Katsu
Masatake
M
Minakata
Kenji
K
D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004630:Emergencies; D005260:Female; D006801:Humans; D012480:Salmonella Infections / Q000150:complications*