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KMID : 0191120130280030485
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Journal of Korean Medical Science
2013 Volume.28 No. 3 p.485 ~ p.488
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Stanford Type A Aortic Dissection Secondary to Infectious Aortitis: A Case Report
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Park Bong-Soo
Min Ho-Ki
Kang Do-Kyun
Jun Hee-Jae
Hwang Youn-Ho
Jang Eun-Jeong
Jin Kyu-Bok
Kim Hyun-Kuk
Jang Hang-Jea
Song Jong-Woon
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Abstract
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Nowadays, infectious aortitis has become a rare disease thanks to antibiotics, but remains life-threatening. We present a case of a patient with acupuncture-induced infectious aortitis leading to aortic dissection. Chest computed-tomogram scan revealed Stanford type A dissection with pericardial effusion. Under the impression of an impending rupture, emergent surgery was performed. During surgery, infectious aortitis was identified incidentally, so she underwent resection of the infected aorta including surrounding tissues. Then the ascending aorta and hemi-arch were replaced with a prosthetic graft as an in situ fashion. The resected tissue and blood cultures revealed Staphylococcus aureus, so prolonged antibiotherapy was prescribed.
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KEYWORD
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Aneurysm, Dissecting, Aortitis, Acupuncture
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