Mycotic Aneurysm of the Aortic Arch Presenting With Left Vocal Cord Palsy
We report a case of a 71-year-old man with a mycotic aneurysm of the aortic arch who presented with progressive hoarseness. Three weeks prior to this event the patient was admitted to an outside hospital in septic condition and was diagnosed with a mycotic abdominal aortic aneurysm. Resection of the...
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Veröffentlicht in: | The Annals of thoracic surgery 2013-07, Vol.96 (1), p.302-305 |
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creator | Tokmaji, George Gosev, Igor, MD Kumamaru, Kanako Kunishima, MD, PhD Bolman, Ralph Morton, MD |
description | We report a case of a 71-year-old man with a mycotic aneurysm of the aortic arch who presented with progressive hoarseness. Three weeks prior to this event the patient was admitted to an outside hospital in septic condition and was diagnosed with a mycotic abdominal aortic aneurysm. Resection of the infected abdominal aortic aneurysm with right axillofemoral and femoral-femoral bypass grafts was performed and the patient was discharged home on intravenous antibiotics. At our institution, the aortic arch aneurysm was treated with extensive debridement and replaced with a Dacron prosthesis under circulatory arrest with antegrade cerebral perfusion through the axillofemoral bypass. |
doi_str_mv | 10.1016/j.athoracsur.2012.11.033 |
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Three weeks prior to this event the patient was admitted to an outside hospital in septic condition and was diagnosed with a mycotic abdominal aortic aneurysm. Resection of the infected abdominal aortic aneurysm with right axillofemoral and femoral-femoral bypass grafts was performed and the patient was discharged home on intravenous antibiotics. At our institution, the aortic arch aneurysm was treated with extensive debridement and replaced with a Dacron prosthesis under circulatory arrest with antegrade cerebral perfusion through the axillofemoral bypass.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2012.11.033</identifier><identifier>PMID: 23816081</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Aneurysm, Infected - complications ; Aneurysm, Infected - diagnosis ; Aortic Aneurysm, Thoracic - complications ; Aortic Aneurysm, Thoracic - diagnosis ; Aortography ; Cardiothoracic Surgery ; Diagnosis, Differential ; Humans ; Male ; Surgery ; Tomography, X-Ray Computed ; Vocal Cord Paralysis - diagnosis ; Vocal Cord Paralysis - etiology</subject><ispartof>The Annals of thoracic surgery, 2013-07, Vol.96 (1), p.302-305</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2013 The Society of Thoracic Surgeons</rights><rights>Copyright © 2013 The Society of Thoracic Surgeons. 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Three weeks prior to this event the patient was admitted to an outside hospital in septic condition and was diagnosed with a mycotic abdominal aortic aneurysm. Resection of the infected abdominal aortic aneurysm with right axillofemoral and femoral-femoral bypass grafts was performed and the patient was discharged home on intravenous antibiotics. At our institution, the aortic arch aneurysm was treated with extensive debridement and replaced with a Dacron prosthesis under circulatory arrest with antegrade cerebral perfusion through the axillofemoral bypass.</description><subject>Aged</subject><subject>Aneurysm, Infected - complications</subject><subject>Aneurysm, Infected - diagnosis</subject><subject>Aortic Aneurysm, Thoracic - complications</subject><subject>Aortic Aneurysm, Thoracic - diagnosis</subject><subject>Aortography</subject><subject>Cardiothoracic Surgery</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Male</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Vocal Cord Paralysis - diagnosis</subject><subject>Vocal Cord Paralysis - etiology</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi1ERbeFv4B85JLUYyeOfUFaVnxUWkSl8nG0EmfCesnGxXaQ8u_rZQtInHoazcw7M5rnJYQCK4GBvNqXbdr50No4h5Iz4CVAyYR4QlZQ17yQvNZPyYoxJopKN_U5uYhxn1Oe28_IORcKJFOwItcfF-uTs3Q94RyWeKB-oGmHdO3D73KwO3oTMOKU3PSdfnNpR7c4JPrV23akGx96etOOcXlOzoYc8cVDvCRf3r39vPlQbD-9v96st4WtGp0KKftONBJAYadlo7DV3dD3sueqrjhTUlSs4rqWWsLQ6KZrmBVq6CrVs6pDEJfk1WnvXfA_Z4zJHFy0OI7thH6OBvJvTKsaqixVJ6kNPsaAg7kL7tCGxQAzR5Bmb_6BNEeQBsBkkHn05cOVuTtg_3fwD7kseHMSYP71l8NgonU4WexdQJtM791jrrz-b4kd3eQy2B-4YNz7OUyZpQETuWHm9mjo0U_gLDusuLgHn5Kcgw</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Tokmaji, George</creator><creator>Gosev, Igor, MD</creator><creator>Kumamaru, Kanako Kunishima, MD, PhD</creator><creator>Bolman, Ralph Morton, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Mycotic Aneurysm of the Aortic Arch Presenting With Left Vocal Cord Palsy</title><author>Tokmaji, George ; Gosev, Igor, MD ; Kumamaru, Kanako Kunishima, MD, PhD ; Bolman, Ralph Morton, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-66db376118eb9678ea9bfdd6d2854208634042956961f797b70c38fb48d04be13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aneurysm, Infected - complications</topic><topic>Aneurysm, Infected - diagnosis</topic><topic>Aortic Aneurysm, Thoracic - complications</topic><topic>Aortic Aneurysm, Thoracic - diagnosis</topic><topic>Aortography</topic><topic>Cardiothoracic Surgery</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Male</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Vocal Cord Paralysis - diagnosis</topic><topic>Vocal Cord Paralysis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tokmaji, George</creatorcontrib><creatorcontrib>Gosev, Igor, MD</creatorcontrib><creatorcontrib>Kumamaru, Kanako Kunishima, MD, PhD</creatorcontrib><creatorcontrib>Bolman, Ralph Morton, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tokmaji, George</au><au>Gosev, Igor, MD</au><au>Kumamaru, Kanako Kunishima, MD, PhD</au><au>Bolman, Ralph Morton, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mycotic Aneurysm of the Aortic Arch Presenting With Left Vocal Cord Palsy</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>96</volume><issue>1</issue><spage>302</spage><epage>305</epage><pages>302-305</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We report a case of a 71-year-old man with a mycotic aneurysm of the aortic arch who presented with progressive hoarseness. 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subjects | Aged Aneurysm, Infected - complications Aneurysm, Infected - diagnosis Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnosis Aortography Cardiothoracic Surgery Diagnosis, Differential Humans Male Surgery Tomography, X-Ray Computed Vocal Cord Paralysis - diagnosis Vocal Cord Paralysis - etiology |
title | Mycotic Aneurysm of the Aortic Arch Presenting With Left Vocal Cord Palsy |
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