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Chronic Aortic Dissection (DeBakey Type II) with Infective Thrombus in the False Channel
Author(s) -
Matsubayashi Keiji,
Ueda Yuichi,
Ogino Hitoshi,
Sugita Takaaki,
Yoshimura Shinichiro
Publication year - 1999
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1999.tb01274.x
Subject(s) - medicine , aortic dissection , thrombus , cardiology , dissection (medical) , surgery , radiology , aorta
A bstract A 68‐year‐old man with a DeBakey type II chronic aortic dissection developed bacteremia secondary to a urinary tract infection with the Serratia species. This resulted in an infected thrombus in the false channel and a subsequent rupture of the ascending aorta. An emergency resection of the ascending aorta and a Dacron graft interposition were performed. The patient suffered from severe neurological insufficiency and died of pneumonia 6 months postoperatively. The optimal operation time and surgical options of an infected aortic dissection should be determined.