title: Two-stage Surgery for Double Infected Aneurysms in the Infrarenal Abdominal and Descending Thoracic Aorta.
abstract: A 61-year-old man complaining of lumbago and high-grade fever was admitted to our institution. Computed tomography (CT) revealed a saccular aneurysm in the infrarenal abdominal aorta and blood culture results were positive for Streptococcus pneumoniae. He was diagnosed with infected abdominal aortic aneurysm, and antibiotic therapy was initiated. Follow-up CT demonstrated a rapidly-enlarging abdominal aortic aneurysm and a newly-developed descending thoracic aortic aneurysm. For this case, two-stage surgery consisting of extra-anatomical bypass and in-situ reconstruction using rifampicin-soaked Dacron graft was performed after an interval of 37 days. The patient was discharged 14 days after the second surgery without any complications.
authors.affiliation: Department of Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.
authors.forename: Kosaku
authors.initials: K
authors.lastname: Nishigawa
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tabuchi
authors.forename: Hiroki
authors.initials: H
authors.lastname: Takiuchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kubo
authors.forename: Hisao
authors.initials: H
authors.lastname: Masaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tanemoto
keywords: infected aortic aneurysm; multiple aneurysms; rifampicin-soaked graft
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