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Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus

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Abstract

A 66-year-old woman presented with cardiac tamponade. Pericardiocentesis revealed purulent pericarditis. Enhanced computed tomography showed a saccular aneurysm of the aortic arch. An irregularly shaped and partially enhanced mass was seen adjacent to the aneurysm, which suggested development of a mycotic pseudoaneurysm. Surgical drainage was performed through a subxiphoid incision, and continuous irrigation was commenced. On the following day, however, massive bleeding was recognized through the drains. The patient was immediately transferred to the operating theater, and extracorporeal circulation was established. A perforation 1 cm in diameter was found on the anterior surface of the pulmonary trunk, and a large amount of pus came out from the tear. The ascending aorta and the arch were found to be infected. Surgical repair was impossible due to extensive infection, and the patient died. Methicillin-resistant Staphylococcus aureus was isolated from the pericardial effusion, blood, and intraluminal thrombus of the aortic aneurysm.

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References

  1. Olson LJ, Edwards WD, Olney BA, Orszulak TA, Josa M. Hemorrhagic cardiac tamponade: a clinicopathologic correlation. Mayo Clin Proc 1984;59:785–790.

    PubMed  CAS  Google Scholar 

  2. Brahan RB, Kahler RC. Clostridium septicum as a cause of pericarditis and mycotic aneurysm. J Clin Microbiol 1990;28:2377–2378.

    PubMed  CAS  Google Scholar 

  3. Shroyer KR, Svedlow GS, Adcock DM. Mycotic pseudoaneurysm of the thoracic aorta with purulent pericarditis. Am J Cardiovasc Pathol 1990;3:347–352.

    PubMed  CAS  Google Scholar 

  4. Aranda J Jr, Tauth J, Henning RJ, O’Hara M. Pseudoaneurysm of the thoracic aorta presenting as purulent pericarditis and pericardial effusion. Cathet Cardiovasc Diagn 1998;43:63–67.

    Article  PubMed  Google Scholar 

  5. Akashi Y, Ikehara Y, Yamamoto A, Suzuki N, Osada N, Matsumoto N, et al. Purulent pericarditis due to group B streptococcus and mycotic aneurysm of the ascending aorta: case report. Jpn Circ J 2000;64:83–86.

    Article  PubMed  CAS  Google Scholar 

  6. Patel S, Maves R, Barrozo CP, Mullens F, Russell K, Truett A, et al. Mycotic pseudoaneurysm and purulent pericarditis attributable to methicillin-resistant Staphylococcus aureus. Mil Med 2006;171:784–787.

    PubMed  Google Scholar 

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Correspondence to Shunei Saito.

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Saito, S., Matsuura, A., Miyahara, K. et al. Infected aortic aneurysm, purulent pericarditis, and pulmonary trunk rupture caused by methicillin-resistant Staphylococcus aureus . Gen Thorac Cardiovasc Surg 57, 250–252 (2009). https://doi.org/10.1007/s11748-008-0376-y

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  • DOI: https://doi.org/10.1007/s11748-008-0376-y

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