| Multiple Mycotic Aneurysms of the Thoracoabdominal
Aorta and Abdominal Aorta |
(Department of Cardiovascular Surgery,
Mie University School of Medicine, Tsu, Japan)
| Iwao Hioki |
Yasuhiro Sawada |
Koji Onoda |
| Takatsugu Shimono |
Hideto Shimpo |
Isao Yada |
|
A 59-year-old man had been treated at
another institution for bacterial meningitis (Streptococcus pneumoniae).
He had severe back pain and lumbago. Computed tomographic (CT) scanning
of the chest and abdomen demonstrated saccular aneurysms at the diaphragm
in the descending thoracic aorta and the infrarenal abdominal aorta. An
extended left posterolateral retroperitoneal incision was performed for
resection of the thoracoabdominal aneurysm and replacement of an in situ
dacron graft with rifampicin using cardiopulmonary bypass. The abdominal
aneurysm was resected and replaced by an in situ dacron graft with rifampicin.
The grafts were covered with a pedicled omental flap. The tissue culture
was negative. After subsequent intravenous antibiotic therapy for 2 months,
the patient was discharged without any evidence of remaining infection.
Jpn. J. Cardiovasc. Surg. 34: 233-236 (2005) |
|
