Oh Sungjin, Yoon Young Won, Jang Gil Jin, Ahn Jung Bae, Hong Gee pyo, Gang Gyung hoon, Gang Myun-sik, Hong Yong uk, Gee Jung Hae
Cardiovascular Center, National Health Insurance Corporation, Ilsan Hospital, Goyang, Korea.
J Korean Med Sci. 2003 Aug;18(4):589-91. doi: 10.3346/jkms.2003.18.4.589.
We report a case of ruptured mycotic aneurysm involving innominate artery requiring an urgent surgical treatment. A 62-yr-old woman presented with fever and dyspnea. Previously, she was diagnosed with colon cancer and received right hemicolectomy and one cycle of adjuvant chemotherapy. On echocardiogram, pericardial effusion was noted and emergency pericardiocentesis was performed. CT scan revealed aortic aneurysm involving ascending aorta and innominate artery, and thrombi surrounding those structures. Patch repair of the defect in the ascending aorta and ringed Goretex graft to bypass the innominate and ascending aorta were performed. We believe that this is the first case of ruptured mycotic aneurysm involving innominate artery.
我们报告一例累及无名动脉的霉菌性动脉瘤破裂病例，该病例需要紧急手术治疗。一名62岁女性出现发热和呼吸困难。她之前被诊断患有结肠癌，并接受了右半结肠切除术和一个周期的辅助化疗。超声心动图检查发现心包积液，并进行了紧急心包穿刺术。CT扫描显示主动脉瘤累及升主动脉和无名动脉，以及这些结构周围的血栓。对升主动脉的缺损进行了补片修复，并使用带环的戈尔特斯移植物绕过无名动脉和升主动脉。我们认为这是首例累及无名动脉的霉菌性动脉瘤破裂病例。
