Document Detail

Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus.
MedLine Citation:
PMID:  19440821     Owner:  NLM     Status:  MEDLINE    
A 66-year-old woman presented with cardiac tamponade. Pericardiocentesis revealed purulent pericarditis. Enhanced computed tomography showed a saccular aneurysm of the aortic arch. An irregularly shaped and partially enhanced mass was seen adjacent to the aneurysm, which suggested development of a mycotic pseudoaneurysm. Surgical drainage was performed through a subxiphoid incision, and continuous irrigation was commenced. On the following day, however, massive bleeding was recognized through the drains. The patient was immediately transferred to the operating theater, and extracorporeal circulation was established. A perforation 1 cm in diameter was found on the anterior surface of the pulmonary trunk, and a large amount of pus came out from the tear. The ascending aorta and the arch were found to be infected. Surgical repair was impossible due to extensive infection, and the patient died. Methicillin-resistant Staphylococcus aureus was isolated from the pericardial effusion, blood, and intraluminal thrombus of the aortic aneurysm.
Shunei Saito; Akio Matsuura; Ken Miyahara; Haruki Takemura; Sadanari Sawaki; Hideki Ito
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-15
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  57     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-14     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  250-2     Citation Subset:  IM    
Division of Cardiovascular Surgery, Aichi Cardiovascular and Respiratory Center, Ichinomiya, Aichi, Japan.
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MeSH Terms
Aneurysm, Infected / microbiology*,  therapy
Fatal Outcome
Methicillin-Resistant Staphylococcus aureus*
Pericarditis / microbiology*
Pulmonary Artery / microbiology*
Rupture, Spontaneous
Staphylococcal Infections / complications*,  therapy

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

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