[Surgical treatment with the rifampicin-soaked vascular prosthesis for mycotic pseudoaneurysm after aortic root replacement].
A 59-year-old man had undergone aortic root replacement for annuloaortic ectasia (AAE) and aortic regurgitation (AR) 18 years before. The computed tomography (CT) showed a pseudoaneurysm of ascending aorta 4 years after the 1st operation. Re-aortic root replacement was done 15 years after the 1st operation because of the pseudoaneurysm. However, 3 years after the 2nd operation, the patient suffered from fever and another pseudoaneurysm was revealed by CT. Echocardiography showed a vegetation attached to the aortic valve. The 3rd operation was successfully performed using rifampicin-soaked vascular prosthesis. The postoperative course was uneventful. Thus, graft infection was effectively treated with a rifampicin-soaked vascular prosthesis.
Department of Cardiovascular Surgery, Fukuyama Cardiovasculary Hospital, Fukuyama, Japan.
Daisuke
D
Futagami
Shogo
S
Mukai
Shogo
S
Obata
Kiyohiko
K
Morifuji
Hironobu
H
Morimoto
D017541:Aneurysm, False / Q000601:surgery*; D000785:Aneurysm, Infected / Q000601:surgery*; D000904:Antibiotics, Antitubercular / Q000008:administration & dosage*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D012293:Rifampin / Q000008:administration & dosage*
D000904:Antibiotics, Antitubercular; D012293:Rifampin