Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case of Recurrent Aortic Rupture Associated with Klebsiella pneumoniae Pericarditis Treated by Two Separate Aortic Operations

  • Han, Sun (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine) ;
  • Ryu, Kyoung Min (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine) ;
  • Seo, Pil Won (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine) ;
  • Ryu, Jae-Wook (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine)
  • Received : 2015.11.19
  • Accepted : 2015.12.31
  • Published : 2016.02.05
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Abstract

A 49-year-old female presented with severe dyspnea. She was diagnosed with cardiac tamponade combined with ascending aortic pseudoaneurysm and rupture, which was caused by Klebsiella pneumoniae infection. This extremely rare condition was managed by an emergency pericardiostomy and two separate aortic operations. Antibiotics active for the K. pneumoniae isolate were used throughout. The patient was well for nine months after discharge and continues to be followed up for signs of possible reinfection.

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References

  1. Nagano N, Yamamoto T, Amano A, Kikuchi K. Infected aneurysm of the aortic arch with purulent pericarditis caused by Streptococcus pneumoniae. Interact Cardiovasc Thorac Surg 2010;10:459-61. https://doi.org/10.1510/icvts.2009.224980
  2. Chao CM, Lee KK, Wang CS, Chen PJ, Yeh TC. A fatal case of Klebsiella pneumoniae mycotic aneurysm. Case Rep Emerg Med 2011;2011:498545.
  3. Maillet JM, Palombi T, Sablayrolles JL, Bonnet N. Septic rupture of an atherosclerotic plaque of the ascending aorta. Interact Cardiovasc Thorac Surg 2012;15:790-1. https://doi.org/10.1093/icvts/ivs251
  4. Molacek J, Treska V, Baxa J, Certik B, Houdek K. Acute conditions caused by infectious aortitis. AORTA 2014;2:93-9. https://doi.org/10.12945/j.aorta.2014.14-004
  5. Chen YJ, Chen SY, Wang JT, Hsueh PR. Mycotic aneurysm caused by gas-forming serotype K5 Klebsiella pneumoniae. Int J Infect Dis 2009;13:e47-8.
  6. Muller BT, Wegener OR, Grabitz K, Pillny M, Thomas L, Sandmann W. Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg 2001;33:106-13.
  7. Hsu RB, Tsay YG, Wang SS, Chu SH. Surgical treatment for primary infected aneurysm of the descending thoracic aorta, abdominal aorta, and iliac arteries. J Vasc Surg 2002;36:746-50. https://doi.org/10.1067/mva.2002.126557
  8. Kitamura T, Stuklis RG, Stubberfield J, Edwards J. Recurrent rupture of an infected aortic arch. Tex Heart Inst J 2010;37:591-3.

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