Document Detail

Mycotic pseudoaneurysm of the brachiocephalic artery.
MedLine Citation:
PMID:  15077852     Owner:  NLM     Status:  MEDLINE    
A 73-year-old woman with a history of hypertension and hyperlipidemia presented with a sharp pain ranging from the right shoulder to the upper limb. She had suffered a sharp pain at rest accompanied by general fatigue and nausea for about ten months prior to admission. Her white blood cell count was 12,800/microl, and her serum C-reactive protein was 17.5 mg/dl. A chest computed tomography scan revealed an aneurysmal change of the origin of the brachiocephalic artery. Pseudoaneurysm due to infection and aortic dissection was considered as a preoperative diagnosis. A total arch replacement was performed under cardiopulmonary bypass, deep hypothermia, and selective cerebral perfusion. Postoperatively, a bacteriologic culture of the contents of the aneurysm revealed Staphylococcus aureus. Perioperative administration of antibiotics was effective and the postoperative course was uneventful.
Hironori Ninomiya; Masachika Kuwabara; Takahiro Hayase; Kouji Furukawa; Toshio Onitsuka
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  52     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-13     Completed Date:  2004-05-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  155-7     Citation Subset:  IM    
Department of Cardiovascular Surgery, Miyazaki Prefectural Nobeoka Hospital, Kiyotake, Miyazaki 889-1692, Japan.
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MeSH Terms
Aneurysm, False / microbiology*,  surgery*
Blood Vessel Prosthesis Implantation
Brachiocephalic Trunk*
Cardiopulmonary Bypass
Staphylococcal Infections / diagnosis*,  surgery*

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