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Recurrent rupture of an infected aortic arch

Tadashi Kitamura1, Robert G Stuklis, John Stubberfield

  • 1Department of Cardiothoracic Surgery, Royal Adelaide Hospital, Adelaide 5000, Australia. funcorogash@hotmail.com

Texas Heart Institute Journal
|October 28, 2010
PubMed

Insights

Severe bacterial aortitis, a rare aortic infection, can lead to rupture. This case highlights successful reoperation for recurrent rupture after initial repair, involving débridement and aortic arch replacement.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Severe bacterial aortitis without aneurysm is a rare, life-threatening condition.
  • Staphylococcus aureus infection caused aortic rupture in a 58-year-old man.
  • Initial patch repair of the nonaneurysmal aorta was followed by recurrent rupture.

Observation:

  • A 58-year-old man presented with a ruptured nonaneurysmal aorta due to Staphylococcus aureus infection.
  • Underwent initial patch repair, followed by postoperative recurrent rupture necessitating reoperation.

Findings:

  • Successful reoperation involved wide-margin débridement.
  • Aortic arch replacement with a prosthetic vascular graft and omental flap was performed.

Implications:

  • Demonstrates a successful surgical strategy for recurrent bacterial aortitis rupture.
  • Highlights the importance of aggressive management and advanced reconstructive techniques.
Keywords:
Anti-bacterial agents/therapeutic useaorta, thoracic/microbiology/pathologyaortic diseases/complications/immunology/microbiologydisease progressioninflammation/pathologyomentum/transplantationprosthesis-related infections/diagnosis/prevention & control/surgeryrisk factorsstaphylococcal infections/drug therapy/prevention & control/surgerytreatment outcome

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