Stanford Type A Aortic Dissection Secondary to Infectious Aortitis: A Case Report.
10.3346/jkms.2013.28.3.485
- Author:
Bong Soo PARK
1
;
Ho Ki MIN
;
Do Kyun KANG
;
Hee Jae JUN
;
Youn Ho HWANG
;
Eun Jeong JANG
;
Kyubok JIN
;
Hyun Kuk KIM
;
Hang Jea JANG
;
Jong Woon SONG
Author Information
1. Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
- Publication Type:Case Reports
- Keywords:
Aneurysm, Dissecting;
Aortitis;
Acupuncture
- MeSH:
Acupuncture;
Aged, 80 and over;
Anti-Bacterial Agents/therapeutic use;
Aortic Aneurysm, Thoracic/microbiology/*surgery;
Aortitis/drug therapy/microbiology/*radiography;
Cardiopulmonary Bypass;
Female;
Humans;
Staphylococcus aureus/isolation & purification;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2013;28(3):485-488
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nowadays, infectious aortitis has become a rare disease thanks to antibiotics, but remains life-threatening. We present a case of a patient with acupuncture-induced infectious aortitis leading to aortic dissection. Chest computed-tomogram scan revealed Stanford type A dissection with pericardial effusion. Under the impression of an impending rupture, emergent surgery was performed. During surgery, infectious aortitis was identified incidentally, so she underwent resection of the infected aorta including surrounding tissues. Then the ascending aorta and hemi-arch were replaced with a prosthetic graft as an in situ fashion. The resected tissue and blood cultures revealed Staphylococcus aureus, so prolonged antibiotherapy was prescribed.
