title: [Successful Emergency Management of an Infected Thoracic Aortic Aneurysm Rupture Using a Pedicled Latissimus Dorsi Flap after Stent-graft Implantation;Report of a Case].
abstract: We report a case of ruptured mycotic thoracic aortic aneurysm treated with a pedicled latissimus dorsi flap after stent-graft implantation. The patient was a 64-year-old woman with diabetes mellitus that had developed septicemia as a result of pyelonephritis and a perinephric abscess. The patient required emergency stent-graft implantation due to rupture of an infected thoracic aortic aneurysm on hospital day 10. On hospital day 19, the abscess cavity was debrided and irrigated, and a pedicled latissimus dorsi flap was created. No recurrence of the inflammatory reaction was observed at 1 year postoperatively.
authors.affiliation: Department of Cardiovascular Surgery, Showa University, Fujigaoka Hospital, Yokohama, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Takeuchi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Hori
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D013524:Surgical Flaps