title: Aortic bypass surgery using synthetic conduits in a child with mycotic aneurysmal disease.
abstract: A six-year-old child developed multiple aortic aneurysms as a consequence of fungal infection following thoracic aortic surgery for coarctation. Several repairs of both the thoracic and abdominal aorta were carried out using synthetic material combined with long-term postoperative antifungal treatment. We describe the surgical interventions performed and follow-up. The choice of conduit continues to be the main concern; however, when other alternatives are not available, synthetic material combined with indefinite antifungal treatment can produce satisfactory medium-term results.
authors.affiliation: Kasr Al Ainy Hospital , Cairo , Egypt.
authors.forename: A
authors.initials: A
authors.lastname: Sayed
authors.affiliation: Kasr Al Ainy Hospital , Cairo , Egypt.
authors.forename: M
authors.initials: M
authors.lastname: Mashaal
authors.affiliation: Kasr Al Ainy Hospital , Cairo , Egypt.
authors.forename: S A
authors.initials: SA
authors.lastname: Soliman
authors.affiliation: Kasr Al Ainy Hospital , Cairo , Egypt.
authors.forename: H
authors.initials: H
authors.lastname: Elwan
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000209:etiology* / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002648:Child; D006801:Humans; D009181:Mycoses / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery
chemical_list: D000935:Antifungal Agents
keywords: Aneurysm; Aorta; Infection; Paediatric; Surgery