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Logo of jkmsThis JournalJKMS Journal of Korean Medical ScienceAboutFor Contributorse-Submission
 
J Korean Med Sci. Aug 2003; 18(4): 589–591.
PMCID: PMC3055067
Spontaneous disruption of mycotic aneurysm involving innominate artery.
Sungjin Oh, Young Won Yoon, Gil Jin Jang, Jung Bae Ahn, Gee pyo Hong, Gyung hoon Gang, Myun-sik Gang, Yong uk Hong, and Jung Hae Gee
Cardiovascular Center, National Health Insurance Corporation, Ilsan Hospital, Goyang, Korea.
Abstract
We report a case of ruptured mycotic aneurysm involving innominate artery requiring an urgent surgical treatment. A 62-yr-old woman presented with fever and dyspnea. Previously, she was diagnosed with colon cancer and received right hemicolectomy and one cycle of adjuvant chemotherapy. On echocardiogram, pericardial effusion was noted and emergency pericardiocentesis was performed. CT scan revealed aortic aneurysm involving ascending aorta and innominate artery, and thrombi surrounding those structures. Patch repair of the defect in the ascending aorta and ringed Goretex graft to bypass the innominate and ascending aorta were performed. We believe that this is the first case of ruptured mycotic aneurysm involving innominate artery.
Articles from Journal of Korean Medical Science are provided here courtesy of
Korean Academy of Medical Sciences