Mycotic aneurysms of the thoracic aorta

• Published in: European journal of cardio-thoracic surgery Vol. 8; no. 3; pp. 135 - 138
• Main Authors: GROSS, C, HARRINGER, W, MAIR, R, WIMMER-GREINECKER, G, KLIMA, U, BRÜCKE, P
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Science B.V 1994; Elsevier Science
• Subjects: Adult; Aged; Aneurysm, Infected - surgery; Anti-Bacterial Agents - administration & dosage; Aortic Aneurysm, Thoracic - surgery; Aortic Valve - surgery; Biological and medical sciences; Blood Vessel Prosthesis - methods; Female; Follow-Up Studies; Heart Valve Prosthesis; Humans; Male; Medical sciences; Middle Aged; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Infection; Vascular disease; Thoracic aorta; Human; Treatment; Surgery; Aneurysm; Bacteriosis; Cardiovascular disease; Technique; Aortic disease
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/1010-7940(94)90169-4

Between February 1982 and December 1992 we operated on five patients(three men, two women; aged 40 to 70 years) with mycotic aneurysms of thethoracic aorta. One patient had an aneurysm of the ascending aorta, oncethe aortic arch and in three cases the descending thoracic aorta wereinvolved. In four of the five patients, excision of the aneurysm and insitu reconstruction of the aorta with a Dacron graft was performed, onepatient required a Dacron graft repair and aortic valve replacement. Weemployed deep hypothermia with circulatory arrest (2), extracorporealcirculation (1), an axillofemoral shunt (1) and a centrifugal pump (1) forcerebral and spinal cord protection. One patient died 4 monthspostoperatively, the other four patients were without recurrent graftinfection and are free of symptoms between 20 months and 5 yearspostoperatively.