Serial PET-CT Scans Can Help Determine Duration of Antibiotic Therapy After Endovascular Mycotic Thoracic Aortic Aneurysm Repair. (August 2019)

• Record Type: Journal Article
• Authors: Weissmann, Jonathan; Shnaker, Ali; Mahajna, Shadi; Ajaj, Moanis; Fajer, Simone
• Is Part Of: Open journal of cardiovascular surgery. Volume 11(2019)
• Publication Date: 2019-08
• Subjects: Aortic aneurysm -- Mycotic -- endovascular -- Haemophilus influenza -- PET-CT; Cardiovascular system -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Heart -- Surgery -- Periodicals; Cardiovascular Diseases; Cardiovascular Surgical Procedures; Cardiovascular System; Cardiovascular system -- Diseases; Cardiovascular system -- Surgery; Periodicals; Electronic journals; Periodicals; 617.41005
• DOI: 10.1177/1179065219867680
• Languages: English
• ISSNs: 1179-0652

Abstract

Mycotic aortic aneurysm is a rare vascular condition, with high-risk for fatal complications. In cases of bacterial infection, prolonged antibiotic therapy is administered. There is no consensus on duration of antibiotic therapy and close follow-up is recommended following surgical and endovascular interventions. We report a case of a patient, who was diagnosed with mycotic aneurysm and underwent successful endovascular repair. Extended postoperative antibiotic treatment was administered. The duration was determined by sequential Fluorine-18 fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) scans over a period of 6 months.