Aortic pseudoaneurysm due to graft infection after invasive thymoma resection.

Abstract

A 69-year-old woman with invasive thymoma underwent chemoradiotherapy followed by surgical resection, including extended thymectomy, right upper lobectomy, and innominate vein and superior vena cava reconstruction with a polytetrafluoroethylene graft. Computed tomography on the 27th postoperative day revealed mediastinitis and right hemothorax; open debridement and evacuation were performed. Vacuum-assisted closure was initiated to heal the median incision. The wound gradually cleared, and the vacuum was terminated on the 150th postoperative day. On the 155th postoperative day, the patient suffered a sudden hemorrhage from the anterior thoracic wall. Computed tomography revealed a ruptured ascending aortic pseudoaneurysm surrounding the graft.

• Authors: Yoshifumi Itoda, Hyoe Komae, Tetsufumi Yamamoto, Makoto Takeda
• Journal: Asian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 20 Issue 5 Pg. 584-6 (Oct 2012) ISSN: 1816-5370 [Electronic] England
• PMID: 23087306 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Polytetrafluoroethylene

Topics

• Aged
• Aneurysm, False (diagnostic imaging, etiology, microbiology, therapy)
• Aneurysm, Infected (diagnostic imaging, etiology, microbiology, therapy)
• Anti-Bacterial Agents (therapeutic use)
• Aortic Aneurysm (diagnostic imaging, etiology, microbiology, therapy)
• Aortic Rupture (etiology)
• Aortography (methods)
• Blood Vessel Prosthesis (adverse effects)
• Blood Vessel Prosthesis Implantation (adverse effects, instrumentation)
• Brachiocephalic Veins (pathology, surgery)
• Chemoradiotherapy, Adjuvant
• Debridement
• Female
• Humans
• Mediastinitis (etiology)
• Methicillin-Resistant Staphylococcus aureus (isolation & purification)
• Negative-Pressure Wound Therapy
• Neoadjuvant Therapy
• Neoplasm Invasiveness
• Neoplasms, Glandular and Epithelial (pathology, surgery)
• Polytetrafluoroethylene
• Prosthesis Design
• Prosthesis-Related Infections (diagnostic imaging, etiology, microbiology, therapy)
• Reoperation
• Staphylococcal Infections (diagnostic imaging, etiology, microbiology, therapy)
• Thymectomy (adverse effects)
• Thymus Neoplasms (pathology, surgery)
• Time Factors
• Tomography, X-Ray Computed
• Treatment Outcome
• Vena Cava, Superior (pathology, surgery)
• Wound Healing