A Case of Total Arch Replacement and Lung Lobectomy for Infected Aortic Aneurysm Ruptured Into Lung

Abstract

We report an extremely rare case of a 77-year-old woman who underwent total arch replacement and left upper pulmonary lobectomy for an E. coli-infected aortic aneurysm that ruptured into the lung, which was first suspected to be lung cancer. On the 6th postoperative day, she weaned off the respirator. However, because of interstitial pneumonia and disseminated intravascular coagulation (DIC), she was put to sleep 38 days postoperatively without leakage at the artificial vascular anastomosis or bronchopleural fistula.