Document Detail


Acute infectious pseudoaneurysm of the descending thoracic aorta and review of infectious aortitis.
MedLine Citation:
PMID:  20675309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thoracic aortic wall disruptions may occur secondary to trauma, surgical interventions, infection, or autoimmune or idiopathic inflammatory disorders. Such vessel wall disruption can lead to aortic dissections, aneurysm development, or more commonly, pseudoaneurysm (PSA) formation. Although aortic wall infections as an antecedent to mycotic aneurysms have been recognized since the 17th century, there has been a temporal evolution in the development of this disease. Prior to the antibiotic era they were commonly associated with endocarditis or syphilis. More recently, however, they are associated with infection of a damaged atherosclerotic area of the aorta and secondary hematogenous or contiguous seeding. We report the first case of the rapid development of a pseudoaneurysm in the descending thoracic aorta attributable to an infection of a contiguous esophageal duplication cyst by a diagnostic esophageal ultrasound (EUS) fine-needle aspiration. A literature review of mycotic thoracic aortic aneurysms and pseudoaneurysms is also presented.
Authors:
Marisa Cevasco; Matthew T Menard; Richard Bafford; Ciaran J McNamee
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-07-30
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  697-700     Citation Subset:  IM    
Affiliation:
Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA. mcevasco@partners.org.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / diagnosis*,  microbiology,  therapy
Aneurysm, Infected / diagnosis*,  microbiology,  therapy
Anti-Bacterial Agents / therapeutic use
Aortic Aneurysm, Thoracic / diagnosis*,  microbiology,  therapy
Aortitis / diagnosis*,  microbiology,  therapy
Biopsy, Fine-Needle
Blood Vessel Prosthesis Implantation
Debridement
Endoscopy, Digestive System
Endosonography
Esophageal Cyst / diagnosis*,  microbiology,  therapy
Female
Humans
Lactobacillus / isolation & purification
Magnetic Resonance Angiography
Surgical Flaps
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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