title: Post-Thoracic Endovascular Aortic Repair Complicated with Mycotic Aneurysm Rupture, Repaired by Redo Thoracic Endovascular Aortic Repair.
abstract: Mycotic aneurysms although rare can be devastating. We encountered a dialysis patient with rapidly expanding distal aortic arch aneurysm who underwent axilloaxillary bypass and thoracic endovascular aortic repair (TEVAR). Three months later, he suffered mycotic aneurysm rupture for which redo TEVAR was performed. Antibiotic therapy was discontinued 16 weeks after the second operation, and renal transplantation was performed 6 months later. Dialysis was discontinued in the patient without infection recurrence.
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan. Electronic address: world1@bc4.so-net.ne.jp.
authors.forename: Taichi
authors.initials: T
authors.lastname: Kondo
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Hirota
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
authors.forename: Joji
authors.initials: J
authors.lastname: Hoshino
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Yoshida
authors.affiliation: Hayama Heart Center, Iwaki Kyoritsu General Hospital, Iwaki, Fukushima Prefecture, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Isomura
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001442:Bacteroides Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001441:Bacteroides fragilis / Q000302:isolation & purification*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D006435:Renal Dialysis; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents