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Mycotic Aortic Arch Aneurysm Caused by Clostridium perfringens
Atsumi Oishi1, Tohru Asai1, Kan Kajimoto1
1Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, JPN.
Cureus
|February 15, 2022
Summary
A rare case of a mycotic aortic arch aneurysm caused by Clostridium perfringens in an elderly man highlights the need for comprehensive treatment. Prompt intervention and monitoring are crucial for managing this serious infection.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- A 79-year-old male patient with a history of cholangitis presented with fever and chest pain.
- Initial suspicion of an infected aortic aneurysm in the aortic arch due to observed emphysematous changes.
Observation:
- Emphysematous changes in the aortic arch resolved after antibiotic therapy.
- New ulcer-like projections and aneurysm enlargement were detected, necessitating urgent surgical intervention.
Findings:
- Successful urgent total aortic arch replacement was performed.
- The case underscores Clostridium perfringens as a causative agent of mycotic aortic aneurysms.
Implications:
- Infectious aneurysms, particularly those caused by Clostridium, demand aggressive treatment of both vascular and infectious components.
- Vigilance for potential associated complications, including malignancy, is essential in managing these complex cases.
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