scholarly journals An infected aortic aneurysm after thoracic endovascular aneurysm repair successfully treated by VATS: A report of two cases

2022 ◽  
Vol 36 (1) ◽  
pp. 16-22
Author(s):  
Yudai Miyashita ◽  
Soichiro Funaki ◽  
Ryota Matsumoto ◽  
Kazuo Shimamura ◽  
Toru Kuratani ◽  
...  
2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Takahiro Tokuda ◽  
Mototsugu Tamaki ◽  
Hideki Kitamura ◽  
Yutaka Koyama ◽  
Koshi Sawada ◽  
...  

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.


2021 ◽  
Vol 14 (2) ◽  
pp. e235439
Author(s):  
Jian Hui Ng ◽  
Kenneth Wei Jian Heng

Infected aortic aneurysm is a rare disease and is often overlooked as a source of infection in septic elderly patients. We present a case of a septic elderly man with a ruptured infected aortic aneurysm caused by Salmonella enteritidis. This condition was treated non-surgically with percutaneous endovascular aneurysm repair and antibiotics. The postoperative recovery was complicated a month later by spondylodiscitis and psoas abscess. He underwent radiologically guided drainage of the psoas abscess and was placed on lifelong suppressive antibiotics. We discuss the aetiology, treatment options and complications of this condition.


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