J Korean Med Sci.  2003 Aug;18(4):589-591. 10.3346/jkms.2003.18.4.589.

Spontaneous Disruption of Mycotic Aneurysm Involving Innominate Artery

• Oh S
• Yoon YW
• Jang GJ
• Ahn JB
• Hong GP
• Gang GH
• Gang MS
• Hong YU
• Gee JH

• KMID: 648914
• DOI: http://doi.org/10.3346/jkms.2003.18.4.589

Abstract

We report a case of ruptured mycotic aneurysm involving innominate artery requiring an urgent surgical treatment. A 62-yr-old woman presented with fever and dyspnea. Previously, she was diagnosed with colon cancer and received right hemicolectomy and one cycle of adjuvant chemotherapy. On echocardiogram, pericardial effusion was noted and emergency pericardiocentesis was performed. CT scan revealed aortic aneurysm involving ascending aorta and innominate artery, and thrombi surrounding those structures. Patch repair of the defect in the ascending aorta and ringed Goretex graft to bypass the innominate and ascending aorta were performed. We believe that this is the first case of ruptured mycotic aneurysm involving innominate artery.

Keyword

Aneurysm; Infected; Brachiocephalic Trunk

MeSH Terms

Aneurysm, Infected/*surgery
Aorta/pathology
Aortic Aneurysm/surgery
Brachiocephalic Trunk/pathology
Colonic Neoplasms/drug therapy/surgery
Female
Human
Middle Aged
Tomography, X-Ray Computed
Transplants