Successful Endovascular Repair of a Penetrating Aortic Ulcer in Bacterial Aortitis.

Autor:	Mezzetto L; Department of Vascular Surgery, University Hospital of Verona, Verona, Italy., Veraldi GF; Department of Vascular Surgery, University Hospital of Verona, Verona, Italy. Electronic address: gianfranco.veraldi@ospedaleuniverona.it., Engelberger S; Department of Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland., Giovannacci L; Department of Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland., Van den Berg J; Department of Radiology, Ospedale Regionale di Lugano, Lugano, Switzerland., Rosso R; Department of Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland.
Jazyk:	angličtina
Zdroj:	Annals of vascular surgery [Ann Vasc Surg] 2016 Aug; Vol. 35, pp. 205.e13-7. Date of Electronic Publication: 2016 May 26.
DOI:	10.1016/j.avsg.2016.01.030
Abstrakt:	Infective aortitis (IA) and penetrating aortic ulcer (PAU) impending for rupture represent 2 hostile life-threatening conditions. Simultaneous presentations of these rare entities can be considered an exception. The pleomorphic clinical presentation and the multifactorial etiology require a multidisciplinary approach to reach a correct diagnosis and an urgent treatment. We report the case of a 65-year-old patient presented with acute abdominal pain and septic shock secondary to a bacterial aortitis and penetrating ulcer of abdominal aorta. Unfit for surgery due to severe comorbidities, he was treated by means of a tubular endograft and long-term antibiotic therapy. A rapid improvement of clinical conditions was observed during the subsequent hospital stay. Complete regression of aortic involvement was demonstrated after 1 year. In conclusion, for selected patients affected by IA and PAU an endovascular approach associated to long-term antibiotic therapy may be safe and effective. (Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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