Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis.
10.5090/kjtcs.2016.49.5.401
- Author:
Byung Kwon CHONG
1
;
Jae Kwang YUN
;
Joon Bum KIM
;
Do Hyun PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jbkim1975@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis, Acute Necrotizing;
Aorta;
Thrombosis;
Mediastinitis;
Esophageal Diseases
- MeSH:
Aorta;
Cardiopulmonary Bypass;
Debridement;
Esophageal Diseases;
Follow-Up Studies;
Humans;
Mediastinitis*;
Mediastinum;
Pancreatitis*;
Pancreatitis, Acute Necrotizing;
Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(5):401-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.
