Surgical Treatment of Pseudoaneurysm of Innominate Artery Infected with Burkholderia Pseudomallei.
The management of melioidosis, caused by Burkholderia pseudomallei, presenting as an infected pseudoaneurysm requires radical debridement and prolonged antibiotics because the pathogen is resistant to host immunity. An extra-anatomical bypass might be a better treatment choice than in situ graft interposition or other methods.We report on a 76-year-oldman with an infected pseudoaneurysmlocated in the innominate artery and a method of extra-anatomical bypass that has not yet been reported in the literature. The patient recovered well without recurrence of infection after the surgical procedure.


BACKGROUND
Burkholderia pseudomallei; Extra-anatomical bypass; Innominate artery; Melioidosis; Pseudoaneurysm.
Institute of Clinical Medicine; ; Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University;
Jun-Neng
JN
Roan
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University; ; Cardiovascular Research Institute, National Cheng Kung University, Tainan, Taiwan.
Chwan-Yau
CY
Luo
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University;
Hung-Lin
HL
Tsai
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University;
Yu-Ning
YN
Hu
Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University;
Yu-Jen
YJ
Yang
Institute of Clinical Medicine; ; Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University; ; Cardiovascular Research Institute, National Cheng Kung University, Tainan, Taiwan.
Pao-Yen
PY
Lin