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The literature is reviewed and a case is reported with mycotic aneurysm of the descending thoracic aorta in a 10 month old infant following beta streptococcal septicemia.
Aneurysms in children are a rare occurrence and mycotic aortic aneurysms are reported in only 13 cases to date. Although mycotic aneurysms are characterized as occurring in the wall of diseased aortas, only 3 of the 14 children reported had any associated aortic disease (in these aneurysm was distal to an area of coarctation).
Primary mycotic aneurysms follow septicemia and have a high incidence of rupture secondary to necrosis of the wall of the affected vessel.
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R. Hashimoto, M. Hada, K. Kamiya, Y. Tada, A. Ueno, J. Yanai, and T. Komai Thoracoabdominal Aortic Aneurysm in an Infant Treated by Thromboexclusion with Thoracoabdominal Aortic Bypass: A Case Report Angiology, December 1, 1996; 47(12): 1157 - 1162. [Abstract] [PDF] |
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