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Eur J Cardiothorac Surg 2002;22:638-639
© 2002 Elsevier Science NL

Case report

Mycotic pseudoaneurysm of the ascending aorta after mediastinitis in an infant

^a Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, 2-138-4 Mutsugawa, Minami-ku, Yokohama 232-0066, Japan
^b Department of Cardiology, Kanagawa Children's Medical Center, Yokohama, 2-138-4 Mutsugawa, Minami-ku, Yokohama 232-0066, Japan

Received 18 February 2002; received in revised form 23 June 2002; accepted 26 June 2002.

* Corresponding author
e-mail: kagami111{at}aol.com

Mycotic pseudoaneurysm of the aorta is a rare disease in children. We report our experience with a postoperative mycotic pseudoaneurysm of the ascending aorta secondary to mediastinitis after a modified Fontan procedure. The pseudoaneurysm was successfully repaired using an autologous pericardial patch through a right thoracotomy under total circulatory arrest. During 6 months of postoperative follow-up, there were no recurrences of pseudoaneurysm formation.

Key Words: Mycotic pseudoaneurysm • Mediastinitis • Methicillin-resistant Staphylococcus aureus • Fontan procedure