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Ann Thorac Surg 1999;68:239-241
© 1999 The Society of Thoracic Surgeons

Case Reports

Pulmonary homograft repair of a mycotic aortic aneurysm in an infant

Curt J. Daniels, MDa, Daniel M. Cohen, MDb, Luke J. Lamers, MDa, Khaled H. Mutabagani, MDc

a Division of Pediatric Cardiology, Columbus Children’s Hospital, and The Ohio State University, Columbus, Ohio, USA
b Division of Cardiothoracic Surgery, Columbus Children’s Hospital, and The Ohio State University, Columbus, Ohio, USA
c Division of Pediatric Surgery, Columbus Children’s Hospital, and The Ohio State University, Columbus, Ohio, USA

Address reprint requests to Dr Cohen, Department of Thoracic Surgery, Children’s Hospital, 700 Children’s Dr, Columbus, OH 43205–2696
e-mail: cohend{at}chi.osu.edu

Thoracic aortic aneurysms are rare in children and even more unusual in infants. The vast majority are mycotic. Frequently, those with mycotic thoracic aortic aneurysm do not survive and the diagnosis is made at autopsy. We present the case of an asymptomatic infant found to have a mycotic thoracic aortic aneurysm. The clinical course, diagnosis, and surgical repair of the aneurysm with pulmonary homograft are discussed.






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