Giant Pseudoaneurysmof Ascending Aorta complicating Recurrent Mediastinitis after Cardiac Surgery.
- Author:
Jun Gyu KANG
1
;
Chul Ju LEE
;
Jun Wha HONG
;
Ho CHOI
;
Dong Mun SO
;
Seung Jae TAK
Author Information
1. Ajou University Hospital Department of Thoracic and Cardiovascular Surgery, Korea. cjlee@madang.ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic aneurysm, ascending;
Pscudoaneurysm;
Mediastinitis
- MeSH:
Abscess;
Adult;
Aneurysm, False;
Anti-Bacterial Agents;
Aorta*;
Female;
Follow-Up Studies;
Heart Valve Diseases;
Humans;
Hypothermia;
Mediastinitis*;
Outpatients;
Pericardium;
Thoracic Surgery*;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(3):252-255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 30 years old female patient was diagnosed valvular heart disease and double valve replacement was ndertaken. After operation, mediastinitis developed and we had done continuous mediastinal irrigation and had used IV antibiotics for 3 weeks. During outpatient follow-up, infection signs developed, so she readmitted and was reoperated because CT revealed mediastinal abscess. No infected material was observed at the operation. Infection signs continued for 3 weeks. Chest CT revealed giant pseudoaneurysm of ascending aorta. We resected the pseudoaneurysm and performed an aortoplasty with bovine pericardium under deep hypothermia and total circulatroy arrest. She recovered well and was discharged without any complication.
