title: Stanford type A aortic dissection secondary to infectious aortitis: a case report.
abstract: Nowadays, infectious aortitis has become a rare disease thanks to antibiotics, but remains life-threatening. We present a case of a patient with acupuncture-induced infectious aortitis leading to aortic dissection. Chest computed-tomogram scan revealed Stanford type A dissection with pericardial effusion. Under the impression of an impending rupture, emergent surgery was performed. During surgery, infectious aortitis was identified incidentally, so she underwent resection of the infected aorta including surrounding tissues. Then the ascending aorta and hemi-arch were replaced with a prosthetic graft as an in situ fashion. The resected tissue and blood cultures revealed Staphylococcus aureus, so prolonged antibiotherapy was prescribed.
authors.affiliation: Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors.forename: Bong Soo
authors.initials: BS
authors.lastname: Park
authors.forename: Ho-Ki
authors.initials: HK
authors.lastname: Min
authors.forename: Do Kyun
authors.initials: DK
authors.lastname: Kang
authors.forename: Hee Jae
authors.initials: HJ
authors.lastname: Jun
authors.forename: Youn-Ho
authors.initials: YH
authors.lastname: Hwang
authors.forename: Eun Jeong
authors.initials: EJ
authors.lastname: Jang
authors.forename: Kyubok
authors.initials: K
authors.lastname: Jin
authors.forename: Hyun Kuk
authors.initials: HK
authors.lastname: Kim
authors.forename: Hang Jea
authors.initials: HJ
authors.lastname: Jang
authors.forename: Jong Woon
authors.initials: JW
authors.lastname: Song
mesh_terms: D026881:Acupuncture; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology / Q000601:surgery*; D001025:Aortitis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acupuncture; Aneurysm, Dissecting; Aortitis