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Post-Enteric Mycotic Aneurysm of Abdominal Aorta with Total Disruption

Department of Cardiovascular & Thoracic Surgery 1 Department of Pediatric Surgery 2 Department of Cardiology 3 Department of Anaesthesia Postgraduate Institute of Medical Education and Research Chandigarh, India

For reprint information contact: Rajendar Krishan Suri, MS Department of Cardiovascular & Thoracic Surgery Postgraduate Institute of Medical Education and Research Chandigarh 160012, India Tel: 91 172 54 1031 Ext. 302 Fax: 91 172 54 0401

We report an extremely rare case of suprarenal mycotic aneurysm of the abdominal aorta below the origin of the superior mesenteric artery, secondary to Salmonella infection in a 3-year-old boy, which was associated with total disruption of the aortic wall. This case was successfully managed surgically with debridement and interposition of a double velour Dacron graft in the involved segment of aorta. A high degree of suspicion, angiographic evaluation supported by noninvasive investigations, and a planned surgical approach are required for a successful outcome.