Thoracic endovascular aneurysm repair for coarctation of the aorta with dissecting aortic aneurysm: A rarity

2018 ◽  
Vol 9 (2) ◽  
pp. 291 ◽  
Author(s):  
HS Natraj Setty ◽  
Babu Reddy ◽  
BC Srinivas ◽  
Sandeep Shankar ◽  
Vijay Kumar ◽  
...  
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.


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