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Ann Thorac Surg 1979;27:185-190
© 1979 The Society of Thoracic Surgeons

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Articles

Rupture of Postcoarctation Mycotic Aneurysms of the Aorta

From the Departments of Surgery and Pediatrics, University of Virginia Medical Center, Charlottesville, VA

Accepted for publication March 31, 1978.

^* Address reprint requests to Dr. Schneider, Box 196, Department of Surgery, University of Virginia, Charlottesville, VA 22901

Sudden and usually fatal rupture is a common complication of postcoarctation mycotic aneurysms. Prompt operative treatment is always indicated, and can be performed using one of three techniques depending on the adequacy of the collateral circulation and the presence or absence of active bacterial infection. Renal dysfunction commonly is associated with bacterial endarteritis and is secondary to an immune-complex glomerulonephritis. The patient reported here was treated successfully by the placement of an emergency axillofemoral bypass graft, removal of the infected portion of the descending thoracic aorta, and delayed intrathoracic reconstruction.

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