Case Reports
doi: 10.25005/2074-0581-2020-22-4-643-649
GIANT MYCOTIC ANEURYSM OF THORACIC AORTA

A.D. Gaibov1, O. Nematzoda2

1Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan

The article describes the features of the clinical course, diagnosis and surgical tactics in a patient with a mycotic aneurysm of the thoracic aorta. Due to the non-specificity of the clinical signs of the aneurysm, the patient received treatment for inflammatory lung disease for a long time. The pathology was diagnosed after chest X-ray. Due to the presence of prolonged subfibrile fever, leukocytosis, accelerated ESR, increased CRP and leukocyte index of intoxication, as well as the absence of trauma and atherosclerosis, the genesis of the aneurysm is regarded as mycotic. The patient underwent left-sided complete thoracotomy, resection of the giant aneurysm of the descending aorta with its prosthetics and implantation of the left subclavian artery orifice into the prosthesis with good immediate results. The choice for open reconstruction of the aorta was dictated by the presence of a large aneurysm, its mycotic genesis, also compression of surrounding organs and structures.

Keywords: Mycotic aneurysm, thoracic aorta, diagnostics, prosthetics, surgical treatment.

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Authors' information:

Gaibov Alidzhon Dzhuraevich
Corresponding Member of the National Academy of Sciences, Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Scopus ID: 6602514987
ORCID ID: 0000-0002-3889-368X
Author ID: 293421
SPIN: 5152-0785
E-mail: gaibov_a.d@mail.ru

Nematzoda Okildzhon
Candidate of Medical Sciences, Leading Researcher, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: F-8729-2018
Scopus ID: 56469644700
ORCID ID: 0000-0001-7602-7611
SPIN code: 2408-9107
Author ID: 929575
E-mail: sadriev_o_n@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Nematzoda Okildzhon
Candidate of Medical Sciences, Leading Researcher, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (915) 250055

E-mail: sadriev_o_n@mail.ru

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