title: Autologous Pericardial Reconstruction of Ruptured Salmonella Mycotic Aortic Arch Aneurysm.
abstract: The primary goals of surgery for mycotic thoracic aortic aneurysms include control of sepsis, radical debridement of infected tissue, anatomic or extra-anatomic aortic reconstruction, and prevention of recurrent infection. Patients with Salmonella aortitis are a challenging subgroup of patients with aggressive infection and very poor prognosis, because bacterial eradication is difficult and risk of recurrent infection is high. We report the successful surgical management of a patient who presented with a ruptured Salmonella aortic arch aneurysm with extensive debridement and near circumferential autologous pericardial patch reconstruction of the aortic arch.
authors.affiliation: Division of Vascular Surgery, Western University, London, Ontario, Canada.
authors.forename: John H
authors.initials: JH
authors.lastname: Landau
authors.affiliation: Division of Cardiac Surgery, Western University, London, Ontario, Canada.
authors.forename: A Dave
authors.initials: AD
authors.lastname: Nagpal
authors.affiliation: Division of Cardiac Surgery, Western University, London, Ontario, Canada. Electronic address: michael.chu@lhsc.on.ca.
authors.forename: Michael W A
authors.initials: MW
authors.lastname: Chu
mesh_terms: D000785:Aneurysm, Infected / Q000382:microbiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000382:microbiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology / Q000601:surgery*; D064592:Autografts; D005260:Female; D006801:Humans; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012480:Salmonella Infections / Q000382:microbiology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*