Multiple mycotic arch-thoraco-abdominal aortic aneurysms: a successful case of in situ graft replacement
Mycotic aortic aneurysms are an uncommon yet still life-threatening pathology. We report on a 67-year-old male who had a persistent fever and back pain. Contrast enhanced computed tomography (CT) showed multiple aortic aneurysms located in the aortic arch, the descending thoracic aorta and the supra...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 2000-02, Vol.17 (2), p.184-186 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Kuki, Satoru Taniguchi, Kazuhiro Miyagawa, Shigeru Takano, Hiroshi |
| description | Mycotic aortic aneurysms are an uncommon yet still life-threatening pathology. We report on a 67-year-old male who had a persistent fever and back pain. Contrast enhanced computed tomography (CT) showed multiple aortic aneurysms located in the aortic arch, the descending thoracic aorta and the supraceliac abdominal aorta. After 2 months of antibiotic therapy, a staged operation was carried out with 2-week interval, which includes a graft replacement of aortic arch with elephant trunk technique and a graft replacement of thoraco-abdominal aorta with omental transfer. The postoperative course was uneventful. This case seems to be quite rare in terms of multiplicity and location of mycotic aneurysms. Surgical strategy for this pathology is discussed. |
| doi_str_mv | 10.1016/S1010-7940(99)00362-0 |
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We report on a 67-year-old male who had a persistent fever and back pain. Contrast enhanced computed tomography (CT) showed multiple aortic aneurysms located in the aortic arch, the descending thoracic aorta and the supraceliac abdominal aorta. After 2 months of antibiotic therapy, a staged operation was carried out with 2-week interval, which includes a graft replacement of aortic arch with elephant trunk technique and a graft replacement of thoraco-abdominal aorta with omental transfer. The postoperative course was uneventful. This case seems to be quite rare in terms of multiplicity and location of mycotic aneurysms. 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We report on a 67-year-old male who had a persistent fever and back pain. Contrast enhanced computed tomography (CT) showed multiple aortic aneurysms located in the aortic arch, the descending thoracic aorta and the supraceliac abdominal aorta. After 2 months of antibiotic therapy, a staged operation was carried out with 2-week interval, which includes a graft replacement of aortic arch with elephant trunk technique and a graft replacement of thoraco-abdominal aorta with omental transfer. The postoperative course was uneventful. This case seems to be quite rare in terms of multiplicity and location of mycotic aneurysms. Surgical strategy for this pathology is discussed.</description><subject>Aged</subject><subject>Aneurysm, Infected - diagnostic imaging</subject><subject>Aneurysm, Infected - surgery</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Polyethylene Terephthalates</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the heart</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuki, Satoru</creatorcontrib><creatorcontrib>Taniguchi, Kazuhiro</creatorcontrib><creatorcontrib>Miyagawa, Shigeru</creatorcontrib><creatorcontrib>Takano, Hiroshi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuki, Satoru</au><au>Taniguchi, Kazuhiro</au><au>Miyagawa, Shigeru</au><au>Takano, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple mycotic arch-thoraco-abdominal aortic aneurysms: a successful case of in situ graft replacement</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>17</volume><issue>2</issue><spage>184</spage><epage>186</epage><pages>184-186</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>Mycotic aortic aneurysms are an uncommon yet still life-threatening pathology. 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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Aneurysm, Infected - diagnostic imaging Aneurysm, Infected - surgery Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Biological and medical sciences Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Humans Male Medical sciences Polyethylene Terephthalates Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Tomography, X-Ray Computed |
| title | Multiple mycotic arch-thoraco-abdominal aortic aneurysms: a successful case of in situ graft replacement |
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