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Type B aortic dissection associated with Salmonella infection.
Naoyuki Kimura1, Atsushi Yamaguchi, Kenichiro Noguchi
1Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical University, 1-847 Amanumatyo, Omiya, Saitama 330-0834, Japan. kimura-n@omiya.jichi.ac.jp
General Thoracic and Cardiovascular Surgery
|June 9, 2007
Summary
Salmonella infection can cause acute type B aortic dissection, a serious condition involving the aorta. Prompt surgical intervention is crucial for managing impending rupture in such cases.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Surgical Innovation
Background:
- Hypertension and diabetes are common risk factors for aortic diseases.
- Acute type B aortic dissection presents a significant risk of rupture and mortality.
- Infectious aortitis is a rare but severe complication affecting the aorta.
Observation:
- A 59-year-old male presented with acute type B aortic dissection 14 days post-symptom onset.
- Diagnostic imaging revealed rapid expansion of the dissecting thoracic aorta (5.2 cm diameter).
- Blood cultures confirmed Salmonella infection, alongside elevated inflammatory markers.
Findings:
- The patient's aortic dissection rapidly progressed, indicating a high risk of rupture.
- Salmonella aortitis was identified as the likely underlying cause of the aortic dissection.
- Emergency surgery involved debridement and prosthetic graft placement with an omental flap.
Implications:
- This case highlights the critical role of infectious agents, specifically Salmonella, in aortic pathology.
- Early diagnosis and aggressive surgical management are vital for patients with infectious aortitis and aortic dissection.
- Understanding the link between Salmonella aortitis and aortic dissection can improve patient outcomes and treatment strategies.
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