Abstract
A 73-year-old woman with a history of hypertension and hyperlipidemia presented with a sharp pain ranging from the right shoulder to the upper limb. She had suffered a sharp pain at rest accompanied by general fatigue and nausea for about ten months prior to admission. Her white blood cell count was 12,800/µl, and her serum C-reactive protein was 17.5 mg/dl. A chest computed tomography scan revealed an aneurysmal change of the origin of the brachiocephalic artery. Pseudoaneurysm due to infection and aortic dissection was considered as a preoperative diagnosis. A total arch replacement was performed under cardiopuhnonary bypass, deep hypothermia, and selective cerebral perfusion. Postoperatively, a bacteriologic culture of the contents of the aneurysm revealed Staphylococcus aureus. Perioperative administration of antibiotics was effective and the postoperative course was uneventful.
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Ninomiya, H., Kuwabara, M., Hayase, T. et al. Mycotic pseudoaneurysm of the brachiocephalic artery. Jpn J Thorac Caridovasc Surg 52, 155–157 (2004). https://doi.org/10.1007/s11748-004-0134-8
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DOI: https://doi.org/10.1007/s11748-004-0134-8