A Case of Total Arch Replacement with Omental Wrapping for Mycotic Aortic Arch Aneurysm

Abstract

A 56-year-old female was admitted to a hospital due to fever and back pain. She was diagnosed of asthmatic bronchitis and received antibiotic therapy. But two weeks later she complained of back pain again. Her white blood cells and C-reactive protein(CRP) were elevated and computed tomography(CT) revealed aortic arch aneurysm. Two weeks later, she was referred to our hospital. CT revealed rapid enlargement of the aneurysm. She was diagnosed of mycotic descending aortic aneurysm and underwent resection of the aneurysm and in situ prosthetic graft replacement and omentopexy around the graft. She received antibiotic therapy until the day 52 postoperatively. Their postoperative courses were good and no recurrence of infection was seen.