Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus

被引：7

作者：

Saito S. ^{[1
]}

Matsuura A. ^{[1
]}

Miyahara K. ^{[1
]}

Takemura H. ^{[1
]}

Sawaki S. ^{[1
]}

Ito H. ^{[1
]}

机构：

[1] Division of Cardiovascular Surgery, Aichi Cardiovascular and Respiratory Center, Aichi 491-0934, 2135 Kariyasuka, Yamato-cho, Ichinomiya

来源：

General Thoracic and Cardiovascular Surgery | 2009年 / 57卷 / 5期

关键词：

Aortic aneurysm; Cardiac rupture; Infection; Methicillin-resistant Staphylococcus aureus; Purulent pericarditis;

D O I：

10.1007/s11748-008-0376-y

中图分类号：

学科分类号：

摘要：

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. © 2009 The Japanese Association for Thoracic Surgery.

引用

页码：250 / 252

页数：2

共 6 条

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[6]

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