MYCOTIC AORTIC-ANEURYSMS AFTER ORTHOTOPIC HEART-TRANSPLANTATION - A 3-CASE REPORT AND REVIEW OF THE LITERATURE

Authors
KNOSALLA C WENG YG WARNECKE H HUMMEL M YANKAH AC HOFMEISTER J HETZER R
Citation
C. Knosalla et al., MYCOTIC AORTIC-ANEURYSMS AFTER ORTHOTOPIC HEART-TRANSPLANTATION - A 3-CASE REPORT AND REVIEW OF THE LITERATURE, The Journal of heart and lung transplantation, 15(8), 1996, pp. 827-839
Citations number
27
Categorie Soggetti
Cardiac & Cardiovascular System",Transplantation
Journal title
The Journal of heart and lung transplantation → ACNP
ISSN journal
10532498
Volume
15
Issue
8
Year of publication
1996
Pages
827 - 839
Database
ISI
SICI code
1053-2498(1996)15:8<827:MAAOH->2.0.ZU;2-O
Abstract
Mycotic aortic aneurysm is a rare yet life-threatening complication af ter orthotopic heart transplantation. This article reviews three cases of mycotic aortic aneurysm in heart transplant recipients developing in the first year after heart transplantation. Excision of the aneurys m and in situ reconstruction of the ascending aorta were performed wit h a patch of glutaraldehyde-fixed pericardium or cryopreserved aortic allograft material as a patch or conduit replacement. These cases show that early diagnosis by computed tomographic scanning, surgical treat ment, high-dose parenteral antibiotics, and close follow-up are essent ial for successful treatment.