title: Atypical Mycotic Aortic Aneurysms.
abstract: Mycotic aortic aneurysms are rare occurrences and such aneurysms associated with Streptococcus pneumoniae are seldom seen in the current antibiotic era. We present the unusual case of a 68-year-old healthy female with a Streptococcal mycotic abdominal aortic aneurysm of unknown etiology treated with antibiotics and open surgical intervention. Postoperative imaging revealed multiple new thoracic mycotic aortic aneurysms for which she was treated with thoracic endovascular aortic repair. Sequential abdominal and thoracic Streptococcal mycotic aortic aneurysms treated with a combination of open and endovascular surgery demonstrate a unique and rare case.
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA. Electronic address: deepika.koganti@jefferson.edu.
authors.forename: Deepika
authors.initials: D
authors.lastname: Koganti
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Sean P
authors.initials: SP
authors.lastname: Ryan
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Jeon
authors.initials: J
authors.lastname: Kwon
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Babak
authors.initials: B
authors.lastname: Abai
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Dimuzio
authors.affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Salvatore
mesh_terms: 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; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D012086:Reoperation; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
chemical_list: D000900:Anti-Bacterial Agents