Pulmonary homograft repair of a mycotic aortic aneurysm in an infant

Thoracic aortic aneurysms are rare in children and even more unusual in inf ants. The vast majority are mycotic. Frequently, those with mycotic thoraci c aortic aneurysm do not survive and the diagnosis is made at autopsy. We p resent the case of an asymptomatic infant found to have a mycotic thoracic aortic aneurysm. The clinical course, diagnosis, and surgical repair of the aneurysm with pulmonary homograft are discussed. (C) 1999 by The Society o f Thoracic Surgeons.