Stent Graft for Rapidly Growing Thoracic Mycotic Aneurysm in a Patient with Advanced Lung Cancer

DOI HANDLE Web Site PubMed Open Access
  • Ikeuchi Masaki
    Department of Cardiovascular Medicine, Kitakyushu Municipal Medical Center
  • Ando Makoto
    Department of Cardiovascular Medicine, Miyazaki Prefectural Nobeoka Hospital
  • Hisako Kumi
    Department of Cardiovascular Medicine, Kitakyushu Municipal Medical Center
  • Nakamura Ryo
    Department of Cardiovascular Medicine, Kitakyushu Municipal Medical Center
  • Urabe Yoshitoshi
    Department of Cardiovascular Medicine, Kitakyushu Municipal Medical Center
  • Uchida Takayuki
    Department of Cardiovascular Surgery, Iizuka Hospital

Bibliographic Information

Other Title
  • 急速に拡大した感染性胸部大動脈瘤に対して大動脈ステントグラフト内挿術が有効であった，進行肺癌を合併した一例
  • 症例 急速に拡大した感染性胸部大動脈瘤に対して大動脈ステントグラフト内挿術が有効であった,進行肺癌を合併した一例
  • ショウレイ キュウソク ニ カクダイ シタ カンセンセイ キョウブ ダイ ドウミャクリュウ ニ タイシテ ダイドウミャク ステントグラフト ナイソウジュツ ガ ユウコウ デ アッタ,シンコウ ハイガン オ ガッペイ シタ イチレイ

Search this article

Abstract

We report a compromised patient with mycotic aneurysm, who was successfully treated by urgent placement of a stent graft. A man in his seventies was admitted to our hospital with relapsing high fever and back pain during chemotherapy for advanced squamous cell carcinoma of the lung. Contrast CT demonstrated a saccular aneurysm of the thoracic aorta and left pleural effusion. Blood cultures were positive for Escherichia coli producing extended spectrum beta-lactamase (ESBL). Therefore, thoracic mycotic aneurysm was diagnosed. Because of rapid growth on consecutive examinations, absolute bed rest was required. Therefore, we performed antibiotic therapy combined with stent graft placement, which achieved complete exclusion of the aneurysm. He was discharged in an ambulatory state, and his quality of life remained good at home until just before death from terminal state of the cancer.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 106 (2), 41-46, 2015-02-25

    Fukuoka Medical Association

Keywords

Details 詳細情報について

Report a problem

Back to top