A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

Takahiro Tokuda, Mototsugu Tamaki, Hideki Kitamura, Yutaka Koyama, Koshi Sawada, Yasuhiko Kawaguchi, Kazuya Konakano, Yasuhide Okawa

doi:10.1093/jscr/rjz288

A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

DOI PDF 被引用文献1件

Takahiro Tokuda

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Mototsugu Tamaki

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Hideki Kitamura

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Yutaka Koyama

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Koshi Sawada

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Yasuhiko Kawaguchi

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Kazuya Konakano

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan
Yasuhide Okawa

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan

説明

<jats:title>Abstract</jats:title> <jats:p>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.</jats:p>