| A Successful Anatomical Reconstruction
for Mycotic Abdominal Aortic Aneurysm with Infectious Abcess |
(Department of Cardiovascular Surgery, Nagasaki,
Kouseikai Hospital, Nagasaki, Japan and Department of Thoracic
Surgery, Saga Medical School*, Saga, Japan)
| Etsuro Suenaga |
Tsuyosi Itoh* |
Hisao Suda* |
| Kazuyuki Ikeda* |
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Mycotic aortic aneurysm is a rare
disease which is caused by bacterial infection of the aortic
wall, grows rapidly with subsequent rupture and has high mortality.
We report a case of successful anatomical reconstruction for
mycotic abdominal aortic aneurysm with infectious abcess. A 59-year-old
man who was found to have an impending rupture of abdominal aortic
aneurysm underwent emergency anatomical reconstruction. At operation,
an active infectious abcess was noted around the abdominal aorta.
Successful management of this disease depends on early accurate
preoperative diagnosis, complete resection and debridment of
infected tissues, anatomical graft replacement and adjuvant antibiotic
chemotherapy.
Jpn. J. Cardiovasc. Surg. 30: 68-70 (2001) |
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