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European Journal of Cardio-Thoracic Surgery, Vol 12, 133-137, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Successful treatment of primary pneumococcal multilocular mycotic aneurysms

D Grandmougin, H Warembourg and G Fayad
Service de Chirurgie Thoracique et Cardio-vasculaire, Hopital Cardiologique (CHRU-LILLE), Lille, France.

We report the case of a patient with five primary pneumococcal multilocular mycotic aneurysms located in the left femoral artery, the descending thoracic aorta and the right internal iliac artery. A successful treatment combining three different procedures was performed, including the use of two cryopreserved thoracic homografts. At a 54-month follow-up, the patient is alive and leads a normal life. Regular evaluation including computed tomographic scans of the thorax and abdomen showed no recurrence of infectious aneurysmal process. Moreover, this latter examination confirmed no dilatation nor significant calcifications of the thoracic arterial allograft, though chest roentgenogram showed discrete calcifications along the borders at the 50th month.




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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.