Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus
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 m...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2009-05, Vol.57 (5), p.250-252 |
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| creator | Saito, Shunei Matsuura, Akio Miyahara, Ken Takemura, Haruki Sawaki, Sadanari Ito, Hideki |
| description | 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. |
| doi_str_mv | 10.1007/s11748-008-0376-y |
| format | Article |
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Staphylococcus aureus
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Staphylococcus aureus
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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
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| ispartof | General thoracic and cardiovascular surgery, 2009-05, Vol.57 (5), p.250-252 |
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| subjects | Aged Aneurysm, Infected - microbiology Aneurysm, Infected - therapy Cardiac Surgery Cardiology Case Report Fatal Outcome Female Humans Medicine Medicine & Public Health Methicillin-Resistant Staphylococcus aureus Pericarditis - microbiology Pulmonary Artery - microbiology Rupture, Spontaneous Staphylococcal Infections - complications Staphylococcal Infections - therapy Surgical Oncology Thoracic Surgery |
| title | Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus |
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