Tokuda T, Tamaki M, Kitamura H, Koyama Y, Sawada K, Kawaguchi Y, Konakano K, Okawa Y. A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair.
J Surg Case Rep 2019;
2019:rjz288. [PMID:
31700602 PMCID:
PMC6827553 DOI:
10.1093/jscr/rjz288]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 08/19/2019] [Accepted: 08/28/2019] [Indexed: 11/15/2022] Open
Abstract
An 88-year-old man was admitted with general fatigue. Computed tomography (CT) showed a descending aortic aneurysm. The laboratory data indicated severe infection. Despite negative blood cultures, broad-spectrum intravenous antibiotic therapy was started. Though antibiotic therapy was continued for about 2 weeks, the aneurysm extended 20 mm. Thoracic endovascular aortic repair was performed, and antibiotic therapy was continued for 4 weeks after the procedure, followed by oral antibiotics for 1 year. CT showed regression of the aneurysm 15 months after reconstruction. Antibiotic therapy, preoperatively and postoperatively, is important for a mycotic aortic aneurysm.
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