Successful treatment for infected aortic aneurysm using endovascular aneurysm repairs as a bridge to delayed open surgery.
Management of infected aortic aneurysms, which can be life-threatening, remains challenging. Open surgical treatments, including debridement of the infected aorta and the surrounding tissue and either in situ reconstruction or extra-anatomic bypass covering with omentum or muscle flap, are the mainstay of therapy. However, increasing advances in technology have made endovascular treatment of infected aneurysms feasible. The present study describes the first clinical report of successful treatment of an infected aneurysm using endovascular techniques in the acute phase, followed by delayed open surgery.
Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan. naotowakimachi@hotmail.co.jp
Naoto
N
Fukunaga
Takashi
T
Hashimoto
Yasuhisa
Y
Ozu
Mitsuru
M
Yuzaki
Yu
Y
Shomura
Hiroshi
H
Fujiwara
Michihiro
M
Nasu
Yukikatsu
Y
Okada
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D003646:Debridement; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents