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Mycotic ascending aortic pseudoaneurysm causing a large mediastinal abscess.
Ozlem Yildirimturk1, Aylin Tugcu, Yelda Tayyareci
1Department of Cardiology, Florence Nightingale Hospital, Istanbul, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|July 15, 2009
Summary
Mycotic aneurysms are rare, dangerous infections of blood vessels. Early diagnosis and surgery are crucial for survival, as demonstrated by a patient
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Mycotic aneurysm is a rare but severe condition.
- High mortality rates and diagnostic challenges are characteristic.
- Patients often present with non-specific symptoms.
Observation:
- A 46-year-old male with prior subaortic membranectomy presented with fever and dyspnea.
- Transesophageal echocardiography and CT revealed an ascending aortic pseudoaneurysm and mediastinal abscess.
- The aneurysm was attributed to rupture.
Findings:
- The patient was diagnosed with a ruptured mycotic pseudoaneurysm of the ascending aorta.
- Urgent surgical intervention was performed.
- The patient achieved a full recovery.
Implications:
- This case highlights the importance of prompt diagnosis and intervention in managing mycotic aneurysms.
- Multimodality imaging is essential for accurate detection.
- Timely surgical repair can lead to favorable outcomes despite the condition's severity.
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