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Asian Cardiovasc Thorac Ann 2002;10:196
© 2002 Asia Publishing EXchange Pte Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Multiple Mycotic Aortic Aneurysms in a Drug Addict

Carlos-A Mestres, MD, Iván García, MD, Ebrahim Khabiri, MD, José L Pomar, MD

Department of Cardiovascular Surgery The Institute of Cardiovascular Diseases Hospital Clinico Barcelona, Spain
Carlos-A Mestres, MD Tel: 34 93 227 5515 Fax: 34 93 451 4898 email: cmestres{at}clinic.ub.es Department of Cardiovascular Surgery, Hospital Clinico, University of Barcelona, Villarroel 170, Barcelona 08036, Spain.
A 43-yar-old male heroin addict underwent mitral valve replacement with a Carpentier-Edwards pericardial xenograft (Baxter Healthcare Corp., Irvine, CA, USA) because of acute staphylococcal endocarditis. Two months after this surgery, he was readmitted because of deep venous thrombosis in the right leg, secondary to a mycotic popliteal aneurysm. Aortography (Figure 1Go) disclosed multiple aneurysms of the supraceliac aorta and the aortic bifurcation. Supraceliac aortic patching and aortic bifurcation replacement were carried out successfully using cryopreserved aortic homografts.



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  		Figure 1. Aortogram showing multiple aneurysms in the supraceliac area and at the bifurcation.

 





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