Fistulized mycotic aneurysm of the aortic arch

Poelaert, Jan; Poortmans, Gert; Heerman, Jan; Roosens, Carl

doi:10.1053/jcan.2002.31070

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“…The most common infection sites are the femoral artery and abdominal aorta, followed by thoracoabdominal and thoracic aorta 3 . Four mechanisms of mycotic aneurysm formation are implicated: (a) septic microembolism secondary to bacterial endocarditis, (b) extension of primary contaginous infection, (c) hematogenous seeding of the arterial wall during bacteremia from a distant focus, especially in atherosclerosis and congenital malformation of aortic wall, and (d) direct trauma of arterial wall with infection 4 . Staphylococcus aureus and Salmonella species are the predominant organisms found in mycotic aneurisms 5 .…”

Section: Discussionmentioning

confidence: 99%

Mycotic Ascending Aortic Pseudoaneurysm Causing a Large Mediastinal Abscess

et al. 2009

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Mycotic aneurysm is a rare, life-threatening condition with high mortality rates and challenging diagnosis. A 46-year-old man, with a history of subaortic membranectomy, was admitted with a new onset fever and dyspnea. Transesophageal echocardiography and computed tomography demonstrated a mycotic pseudoaneurysm of the ascending aorta and mediastinal abscess due to aneurysm rupture. The patient fully recovered after an immediate diagnose and urgent surgery.

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Section: Discussionmentioning

confidence: 99%