In situ polytetrafluorethylene graft bypass for contained rupture of rapidly progressing aortic pseudoaneurysm due to severe infectious aortitis.
Infectious aortitis is a rare disease with an unfavorable prognosis, although prompt and adequate treatment can reduce its high mortality rate. Pseudoaneurysms caused by aortitis tend to rupture when treatment is delayed. For this reason, determining the appropriate timing of surgical repair is critical. To date, there are no data regarding the expansion rate of the aortic wall after an aortic infection. We report a case of successful surgical treatment of rapidly progressing aortic expansion that resulted from severe infectious aortitis using in situ reconstruction. No complications were experienced by this patient over the 4-year follow-up period.
Department of Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Won Seo
WS
Park
Department of Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Jin Hyun
JH
Joh
Department of Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Sun Young
SY
Min
Department of Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea. Electronic address: whipple@khu.ac.kr.
Hyung Joon
HJ
Ahn
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001025:Aortitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D018450:Disease Progression; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene