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Ruptured Mycotic Thoracic Aortic Aneurysm: Lobectomy and Dacron Graft Repair

Department of Cardiothoracic Surgery, National Heart Centre, Singapore, Republic of Singapore

For reprint information contact: Chua Yeow Leng, FRCS Tel: 65 6436 7598 Fax: 65 6224 3632 email: Chua_Yeow_Leng{at}nhc.com.sg Department of Cardiothoracic Surgery, Mistri Wing, National Heart Centre, 17 Third Hospital Avenue, Singapore 168752, Republic of Singapore.

A 57-year-old man presenting with hemoptysis and chest pain was diagnosed to have a Staphylococcus aureus mycotic aneurysm of the descending thoracic aorta, which subsequently ruptured into the left lower lobe of the lungs. He underwent successful repair with lung resection and Dacron graft replacement under hypothermic circulatory arrest, followed by long-term antibiotic therapy.