A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair. Issue 11 (4th November 2019)

• Record Type: Journal Article
• Authors: Tokuda, Takahiro; Tamaki, Mototsugu; Kitamura, Hideki; Koyama, Yutaka; Sawada, Koshi; Kawaguchi, Yasuhiko; Konakano, Kazuya; Okawa, Yasuhide
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 11(2019)
• Publication Date: 2019-11-04
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz288
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: 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.