Korean J Med.
2010 Aug;79(2):187-190.
Mycotic aneurysm of the ascending aorta, presenting as unstable angina and persistent hiccup
- Affiliations
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- 1Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.
- 2Cardiovascular Center, Seoul Metropolitan Boramae Hospital, Seoul, Korea. wychung@paran.com
Abstract
- A 71-year-old diabetic male who had undergone coronary artery bypass surgery 8-years ago due to coronary artery disease, complained of hiccups for 3 days and worsening of anginal symptoms, which was proven to be with Staphylococcus hominis bacteremia. The patient was finally diagnosed with a mycotic aneurysm of the ascending aorta. All of the branches originating from the ascending aorta were narrowed due to the aortitis, including the origin of the left subclavian artery, which was supplying the left anterior descending artery as a result of bypass surgery. This might have been the cause of the chest pain and hiccups, since the vagus nerve is near the left subclavian artery. Three-dimensional chest computed tomography examination revealed a massive extension of the aortitis.
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