Management of Mycotic Thoracic Aortic Aneurysm With Staged Hybrid Approach
| Autor: | Vijay Patel, Mrinal Shukla, Gautam Agarwal, Hossam Alslaim, Jane Chung |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Surgical debridement General Medicine 030204 cardiovascular system & hematology medicine.disease Chest pain Hybrid approach Thoracic aortic aneurysm Asymptomatic 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine cardiovascular system medicine cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business Elevated white blood cell count Posterior mediastinum |
| Zdroj: | Annals of Vascular Surgery. 74:522.e11-522.e14 |
| ISSN: | 0890-5096 |
| Popis: | We report a case of mycotic thoracic aortic aneurysm managed by staged hybrid repair. A 30-year-old male patient with polysubstance abuse presented with chest pain and elevated white blood cell count. CTA performed showed a rapidly developing mycotic thoracic aortic pseudoaneurysm. He underwent emergent thoracic endovascular aortic repair followed 24 hours later by surgical debridement of the posterior mediastinum. Cultures grew Methicillin-resistant Staphylococcus aureus and patient was placed on long term antibiotics. The patient was asymptomatic on follow up one year after his final operation with complete exclusion of pseudoaneurysm with no endoleak. |
| Databáze: | OpenAIRE |
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