Korean J Nephrol.
2004 Jul;23(4):681-684.
A Case of Asymptomatic Pseudoaneurysm of Thoracic Aorta in a Hemodialysis Patient with Sepsis
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- 2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Pseudoaneurysm of thoracic aorta is very rare but potentially fatal in hemodialysis patients. It results from blunt trauma, cardiovascular surgery, infection, and severe atherosclerosis. Here, we report a case of asymptomatic pseudoaneurysm of thoracic aorta in a hemodialysis patient with sepsis. A 58-year-old man was admitted with a week history of low grade fever and general weakness. He had experienced staphylococcus aureus sepsis with graft infection 6 month ago. Chest X-ray showed severe wall calcification of thoracic aorta and a newly developing round opacity in retrocardiac region. Blood culture demonstrated staphylococcus aureus. Chest computed tomography revealed a large pseudoaneurysm of descending thoracic aorta with disrupted wall calcification.
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