Mycotic aneurysm of the descending thoracic aorta caused by Haemophilus influenzae

J Card Surg. 2010 Mar;25(2):218-20. doi: 10.1111/j.1540-8191.2009.00990.x. Epub 2010 Feb 9.

Abstract

A 59-year-old man presented with a three-month history of back pain, and enhanced computed tomography demonstrated an acutely expanding aneurysm of the descending thoracic aorta with slight erosion of the corresponding vertebrae. Because of suspected infectious or inflammatory etiology, he was managed with a combination of emergency aortic repair using prosthetic graft with omental flap and antibiotic chemotherapy. Haemophilus influenzae was identified from perioperative specimens and the postoperative course was uneventful.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Infected / drug therapy
  • Aneurysm, Infected / surgery*
  • Anti-Bacterial Agents / administration & dosage
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / drug therapy
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Emergencies
  • Haemophilus Infections / drug therapy
  • Haemophilus Infections / surgery*
  • Haemophilus influenzae*
  • Humans
  • Male
  • Meropenem
  • Middle Aged
  • Surgical Flaps
  • Thienamycins / administration & dosage
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Meropenem