Mycotic abdominal aortic aneurysm associated with myelodysplastic syndrome (MDS): report of a case.
A 59-year-old man, who manifested lower back pain, was admitted with sepsis and disseminated intravascular coagulation (DIC). A computed tomographic scan showed a slight thickening of the abdominal aortic wall. A blood examination revealed pancytopenia. Myelodysplastic syndrome was diagnosed after bone marrow aspiration and a chromosome analysis. Sepsis due to a Staphylococcus aureus infection and DIC subsided after medical treatment; however, an aortobifemoral bypass was performed upon the detection of a localized rupture of a mycotic abdominal aortic aneurysm 1 month later. The patient is still alive 2 years after operation despite the presence of a hematological disorder.
Yamamoto
K
K
Department of Cardiovascular Surgery, Niigata Kobari Hospital, Kobari, Niigata, Japan.
Maruyama
Y
Y
Namura
O
O
Hayashi
J
J
Koyama
S
S
D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000209:etiology*; D019917:Blood Vessel Prosthesis Implantation; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000150:complications*; D018805:Sepsis / Q000150:complications; D013203:Staphylococcal Infections / Q000209:etiology* / Q000601:surgery