| A Case of Infected Type IIIb
Aortic Dissection |
(Department of Thoracic and Cardiovascular Surgery,
Kawasaki Medical School, Kurashiki, Japan)
| Takashi Miyake |
Hisao Masaki |
Ichiro Morita |
| Atsushi Tabuchi |
Atsuhisa Ishida |
Eishun Shishido |
| Kazuo Tanemoto |
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A 62-year-old man was admitted to
our hospital because of acute aortic dissection (DeBakey type
IIIb). Inflammatory findings were detected and methicillin-resistant
staphylococcus aureus（MRSA）was detected by blood culture. Appropriate
antibiotic therapy was begun but was ineffective. Repeated CT
scans revealed dilation of the false lumen with thrombus and
perianeurysmal inflammatory change in the lung. A diagnosis of
infected aortic dissection was made. The patient was treated
by resection of the descending aorta and placement of an in
situ Dacron graft covered with a pedicled omental flap. An
infected thrombus in the false lumen was confirmed by a positive
MRSA culture. Computed tomography was found to be more sensitive
in the diagnosis of infected aortic dissection. When the infection
is not controlled with antibiotics, prompt surgical treatment
should be performed.
Jpn. J. Cardiovasc. Surg. 32：34-37（2003） |
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