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Fabrizio M. Follis
Ralph F. Paone
Jorge A. Wernly
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Ann Thorac Surg 1994;58:236-238
© 1994 The Society of Thoracic Surgeons


Articles

Mycotic aneurysm of the ascending aorta after coronary revascularization

Fabrizio M. Follis, MD*, Ralph F. Paone, MD, Jorge A. Wernly, MD

Department of Thoracic and Cardiovascular Surgery, University of New Mexico, Albuquerque, New Mexico USA

Accepted for publication November 2, 1993.

* Address reprint requests to Dr Follis, Department of Thoracic and Cardiovascular Surgery, University of New Mexico, 2211 Lomas Blvd NE, Albuquerque, NM 87131.

A mycotic aneurysm developed at the aortic cannulation site after coronary revascularization and subsequent mediastinitis. Treatment required hypothermic circulatory arrest and patch repair. Review of the literature revealed 40 cases, 11 after various open heart procedures and 10 after either heart or heart and lung transplantation. Postoperative mediastinitis was present in 12. Nine of 12 patients operated on electively survived, versus 4 of 10 who had rupture. Mycotic aneurysms of the ascending aorta are rare but do occur after heart operations, especially in transplant patients.




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