Mycotic aneurysm of the aortic arch presenting with left vocal cord palsy.

Abstract

We report a case of a 71-year-old man with a mycotic aneurysm of the aortic arch who presented with progressive hoarseness. Three weeks prior to this event the patient was admitted to an outside hospital in septic condition and was diagnosed with a mycotic abdominal aortic aneurysm. Resection of the infected abdominal aortic aneurysm with right axillofemoral and femoral-femoral bypass grafts was performed and the patient was discharged home on intravenous antibiotics. At our institution, the aortic arch aneurysm was treated with extensive debridement and replaced with a Dacron prosthesis under circulatory arrest with antegrade cerebral perfusion through the axillofemoral bypass.

• Authors: George Tokmaji, Igor Gosev, Kanako Kunishima Kumamaru, Ralph Morton Bolman 3rd
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 96 Issue 1 Pg. 302-5 (Jul 2013) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 23816081 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Aged
• Aneurysm, Infected (complications, diagnosis)
• Aortic Aneurysm, Thoracic (complications, diagnosis)
• Aortography
• Diagnosis, Differential
• Humans
• Male
• Tomography, X-Ray Computed
• Vocal Cord Paralysis (diagnosis, etiology)