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Surgical Outcomes of Mycotic Aneurysm of the Aortic Arch Naoto Fukunaga 1 , Tatsuto Wakami 1 , Akio Shimoji 1 , Toshi Maeda 1 , Otohime Mori 1 , Kosuke Yoshizawa 1 , Tatsuji Okada 1 , Nobushige Tamura 1 1Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center Keyword: mycotic aneurysm of the aortic arch , surgery pp.1074-1077
Published Date 2022/12/1
DOI https://doi.org/10.15106/j_kyobu75_1074
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Mycotic aneurysm of the aortic arch is a rare, but critical entity. We reviewed our surgical experience of mycotic aneurysm of the aortic arch. Between January 2007 and December 2015, we operated on six patients who had mycotic aneurysm of the aortic arch. The mean age was 72 years old, and four males were included. Preoperative white blood cell count was 18,266/μl and C-reactive peptide was 18.5 μg/dl, respectively. The initial presentations included fever (n=2), hoarseness (n=2), weakness of a leg (n=1), dyspnea (n=1) and hemoptysis (n=1). Preoperative blood cultures were positive in three patients. All patients underwent a total aortic arch repair with a four-branched vascular tube, and five received pedicled omental grafting. One patient who did not receive pedicled omental grafting died of recurrence of infection on postoperative day 21, and the other died of multi-organ failure on postoperative day 77. We experienced tracheostomy (n=1), minor stroke (n=1), and atrial fibrillation (n=1). During the follow-up period, no recurrence of infection was observed in four survivors. Our surgical strategy is satisfactory to achieve good clinical outcomes.


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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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