A Case of Mycotic Aneurysm Repaired by Wrapping the Pedicled Latissimus Dorsi Muscle Flap around the Artificial Graft

(Department of Cardiovascular Surgery, Kawasaki Municipal Hospital, Kawasaki, Japan)

Shinichi Taguchi
A 69-year-old man with histories of cardiac and abdominal operations was hospitalized in another hospital due to brain contusion. Due to hemorrhage from the distal descending thoracic aorta, he was transferred to our hospital. After a diagnosis rupture of mycotic aneurysm an urgent operation was performed. The aneurysm was replaced by an in situ graft. For infection control, the graft was wrapped tightly by a pedicled latissimus dorsi muscle flap. Postoperatively, local infection of the muscle-dissected cavity continued. Although his life was ultimately not saved, he was able to live a comfortable hospital life with some activity for 8 months.
  Jpn. J. Cardiovasc. Surg. 41:173-177(2012)

Keywords:rupture of mycotic aneurysm, latissimus dorsi muscle flap, pedicled muscle flap, MRSA infection