Korean J Thorac Cardiovasc Surg.  2001 Mar;34(3):252-255.

Giant Pseudoaneurysmof Ascending Aorta complicating Recurrent Mediastinitis after Cardiac Surgery

Affiliations
  • 1Ajou University Hospital Department of Thoracic and Cardiovascular Surgery, Korea. cjlee@madang.ajou.ac.kr
  • 2Ajou University Hospital Department of Cardiology, Korea.

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.

Keyword

Aortic aneurysm, ascending; Pscudoaneurysm; Mediastinitis

MeSH Terms

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
Anti-Bacterial Agents
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