Nakamura Yoshitsugu, Kawachi Kanji, Imagawa Hiroshi, Watanabe Yuji, Hamada Yoshihiro, Tsunooka Nobuo
Department of Surgery II, Ehime University School of Medicine, Ehime, Japan.
Jpn J Thorac Cardiovasc Surg. 2003 Jun;51(6):253-5. doi: 10.1007/s11748-003-0024-5.
We report the successful treatment of a 79-year-old man with an extremely rare mycotic aneurysm of the aortic arch due to Salmonella. The patient presented with persistent fever, hoarseness, and hemosputum. Computed tomography showed a large saccular aneurysm with a hazy aortic wall in the aortic arch. We conducted emergency total arch replacement, debriding surrounding infectious tissue. Cultures from the aneurysm grew Salmonella enteritidis. Infection recurred 1 week postoperatively, requiring open irrigation and omentum transposition. These surgical procedures, along with appropriate antibiotics, brought infection under control.
我们报告了一例成功治疗的79岁男性患者，其患有由沙门氏菌引起的极为罕见的主动脉弓霉菌性动脉瘤。患者表现为持续发热、声音嘶哑和咯血。计算机断层扫描显示主动脉弓有一个大的囊状动脉瘤，主动脉壁模糊不清。我们进行了紧急全弓置换术，清除周围感染组织。动脉瘤培养物培养出肠炎沙门氏菌。术后1周感染复发，需要进行开放冲洗和大网膜移位术。这些外科手术，连同适当的抗生素，使感染得到了控制。
