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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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
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author Tokuda, Takahiro
Tamaki, Mototsugu
Kitamura, Hideki
Koyama, Yutaka
Sawada, Koshi
Kawaguchi, Yasuhiko
Konakano, Kazuya
Okawa, Yasuhide
author_facet Tokuda, Takahiro
Tamaki, Mototsugu
Kitamura, Hideki
Koyama, Yutaka
Sawada, Koshi
Kawaguchi, Yasuhiko
Konakano, Kazuya
Okawa, Yasuhide
author_sort Tokuda, Takahiro
collection PubMed
description 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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spelling pubmed-68275532019-11-07 A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair Tokuda, Takahiro Tamaki, Mototsugu Kitamura, Hideki Koyama, Yutaka Sawada, Koshi Kawaguchi, Yasuhiko Konakano, Kazuya Okawa, Yasuhide J Surg Case Rep Case Report 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. Oxford University Press 2019-11-04 /pmc/articles/PMC6827553/ /pubmed/31700602 http://dx.doi.org/10.1093/jscr/rjz288 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tokuda, Takahiro
Tamaki, Mototsugu
Kitamura, Hideki
Koyama, Yutaka
Sawada, Koshi
Kawaguchi, Yasuhiko
Konakano, Kazuya
Okawa, Yasuhide
A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title_full A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title_fullStr A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title_full_unstemmed A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title_short A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
title_sort mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair
topic Case Report
url 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
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