Surgical treatment of thoracic aortic pseudoaneurysm caused by Brucella melitensis

J Cardiothorac Surg. 2023 Feb 14;18(1):74. doi: 10.1186/s13019-023-02171-y.

Abstract

Thoracic aortic pseudoaneurysm caused by Brucella melitensis is extremely rare with extremely few cases reported to date. Herein, we present the case of a 65 year-old man with a huge pseudoaneurysm of the proximal descending thoracic aorta, involving the left subclavian artery and distal arch. Surgery was performed to replace the proximal descending aorta with a self-made bovine pericardial duct and the left subclavian artery with a 10 mm artificial vessel under deep hypothermic circulatory arrest; the patient recovered uneventfully. However, continued follow-up is required for long-term results.

Keywords: Brucella melitensis; Pseudoaneurysm; Relapse; Surgical procedure; Thoracic aorta.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False* / complications
  • Aneurysm, False* / diagnostic imaging
  • Aneurysm, False* / surgery
  • Animals
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / etiology
  • Aortic Aneurysm, Thoracic* / surgery
  • Blood Vessel Prosthesis Implantation* / methods
  • Brucella melitensis*
  • Cattle
  • Humans
  • Male