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KMID : 0882420100790020187
Korean Journal of Medicine
2010 Volume.79 No. 2 p.187 ~ p.190
Mycotic aneurysm of the ascending aorta, presenting as unstable angina and persistent hiccup
Kim Min-Kyung

Chung Go-Eun
Park Hyo-Eun
Chung Woo-Young
Abstract
A 71-year-old diabetic male who had undergone coronary artery bypass surgery 8-years ago due to coronary artery disease, complained of hiccups for 3 days and worsening of anginal symptoms, which was proven to be with Staphylococcus hominis bacteremia. The patient was finally diagnosed with a mycotic aneurysm of the ascending aorta. All of the branches originating from the ascending aorta were narrowed due to the aortitis, including the origin of the left subclavian artery, which was supplying the left anterior descending artery as a result of bypass surgery. This might have been the cause of the chest pain and hiccups, since the vagus nerve is near the left subclavian artery. Three-dimensional chest computed tomography examination revealed a massive extension of the aortitis.
KEYWORD
Aneurysm, Aorta, Mycotic
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