A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

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...

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Detalles Bibliográficos
Autores principales: Tokuda, Takahiro, Tamaki, Mototsugu, Kitamura, Hideki, Koyama, Yutaka, Sawada, Koshi, Kawaguchi, Yasuhiko, Konakano, Kazuya, Okawa, Yasuhide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6827553/
https://www.ncbi.nlm.nih.gov/pubmed/31700602
http://dx.doi.org/10.1093/jscr/rjz288
Descripción
Sumario: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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