GIANT MYCOTIC ANEURYSM OF THORACIC AORTA

Abstract

The article describes the features of the clinical course, diagnosis and surgical tactics in a patient with a mycotic aneurysm of the thoracic aorta. Due to the non-specificity of the clinical signs of the aneurysm, the patient received treatment for inflammatory lung disease for a long time. The pathology was diagnosed after chest X-ray. Due to the presence of prolonged subfibrile fever, leukocytosis, accelerated ESR, increased CRP and leukocyte index of intoxication, as well as the absence of trauma and atherosclerosis, the genesis of the aneurysm is regarded as mycotic. The patient underwent left-sided complete thoracotomy, resection of the giant aneurysm of the descending aorta with its prosthetics and implantation of the left subclavian artery orifice into the prosthesis with good immediate results. The choice for open reconstruction of the aorta was dictated by the presence of a large aneurysm, its mycotic genesis, also compression of surrounding organs and structures.

Keywords

• mycotic aneurysm
• thoracic aorta
• diagnostics
• prosthetics
• surgical treatment.