Chronic type A aortic dissection associated with Listeria monocytogenes infection

Naoyuki Kimura, Hideo Adachi, Koichi Adachi, Munetaka Hashimoto, Atsushi Yamaguchi, Takashi Ino

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

A previously healthy 77-year-old woman with a 4-week history of back pain and fever was admitted to our hospital for chronic type A aortic dissection. The aortic arch was enlarged to 7.5 cm in diameter, and the large dissecting aortic aneurysm involved all three branches of the aortic arch and compressed the trachea. Laboratory tests showed an increased C-reactive protein level (10.5 mg/dl). Blood cultures performed upon admission were negative. Progression of the symptoms suggested the possibility of impending aneurysm rupture. The patient underwent urgent total arch replacement, and cultures of samples obtained from the aortic wall during surgery were positive for Listeria monocytogenes. Two months after surgery, advanced rectal cancer was diagnosed. It is believed that the rectal cancer predisposed the patient to development of an arterial infection associated with L. monocytogenes.

Original languageEnglish
Pages (from-to)417-420
Number of pages4
JournalGeneral thoracic and cardiovascular surgery
Volume56
Issue number8
DOIs
Publication statusPublished - 2008 Aug

Keywords

  • Chronic type A aortic dissection
  • Listeria monocytogenes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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