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Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement
Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434360/ https://www.ncbi.nlm.nih.gov/pubmed/30931062 http://dx.doi.org/10.3400/avd.cr.18-00119 |
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author | Hirano, Koji Tokui, Toshiya Nakamura, Bun Inoue, Ryosai Inagaki, Masahiro Toyoshima, Hirokazu Chino, Shuji Watanabe, Fumiaki Kato, Noriyuki Maze, Yasumi |
author_facet | Hirano, Koji Tokui, Toshiya Nakamura, Bun Inoue, Ryosai Inagaki, Masahiro Toyoshima, Hirokazu Chino, Shuji Watanabe, Fumiaki Kato, Noriyuki Maze, Yasumi |
author_sort | Hirano, Koji |
collection | PubMed |
description | Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared in the aneurysm on follow-up computed tomography, video-assisted thoracoscopic debridement (VATD) followed by continuous drainage was performed next and was successful in eliminating the infection from the abscess. Although frozen elephant trunk and proximal aortic arch repair were further required owing to another pseudoaneurysm, there was no sign of recurrent infection thereafter. The combination of TEVAR and VATD can be effective in treatment of mycotic aortic diseases in selected patients. |
format | Online Article Text |
id | pubmed-6434360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
spelling | pubmed-64343602019-03-29 Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement Hirano, Koji Tokui, Toshiya Nakamura, Bun Inoue, Ryosai Inagaki, Masahiro Toyoshima, Hirokazu Chino, Shuji Watanabe, Fumiaki Kato, Noriyuki Maze, Yasumi Ann Vasc Dis Case Report Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared in the aneurysm on follow-up computed tomography, video-assisted thoracoscopic debridement (VATD) followed by continuous drainage was performed next and was successful in eliminating the infection from the abscess. Although frozen elephant trunk and proximal aortic arch repair were further required owing to another pseudoaneurysm, there was no sign of recurrent infection thereafter. The combination of TEVAR and VATD can be effective in treatment of mycotic aortic diseases in selected patients. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-03-25 /pmc/articles/PMC6434360/ /pubmed/30931062 http://dx.doi.org/10.3400/avd.cr.18-00119 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. |
spellingShingle | Case Report Hirano, Koji Tokui, Toshiya Nakamura, Bun Inoue, Ryosai Inagaki, Masahiro Toyoshima, Hirokazu Chino, Shuji Watanabe, Fumiaki Kato, Noriyuki Maze, Yasumi Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title | Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title_full | Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title_fullStr | Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title_full_unstemmed | Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title_short | Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement |
title_sort | hybrid therapy for mycotic aortic aneurysm with stent-graft and video-assisted thoracoscopic debridement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434360/ https://www.ncbi.nlm.nih.gov/pubmed/30931062 http://dx.doi.org/10.3400/avd.cr.18-00119 |
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