Mycotic Aneurysm of the Descending Thoracic Aorta Caused by Pseudomonas aeruginosa in a Solid Organ Transplant Recipient: Case Report and Review

Autor: Brad A. Feltis, Gregory J. Beilman, David A. Lee
Rok vydání: 2002
Předmět:
Zdroj: Surgical Infections. 3:29-33
ISSN: 1557-8674
1096-2964
DOI: 10.1089/109629602753681131
Popis: Pseudomonas aeruginosa is a rare cause of aortic mycotic aneurysms. Optimal treatment, including reconstructive graft material and appropriate length of antibiotic therapy, is being debated.We describe a 26-year-old kidney-pancreas recipient who developed an aneurysm of the descending thoracic aorta caused by P. aeruginosa.After surgical debridement and cryopreserved allograft reconstruction, parenteral antibiotics were continued for 12 months, at which time the patient was converted to oral antibiotic therapy. Within 6 months, he redeveloped a thoracic aortic aneurysm, necessitating reoperation and lifelong parenteral antibiotic therapy.Herein we review and discuss the relevant literature concerning surgical and antibiotic treatment of mycotic thoracic aneurysms.
Databáze: OpenAIRE