title: Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery.
abstract: A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Dolapoglu
authors.forename: Kim I
authors.initials: KI
authors.lastname: de la Cruz
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Coselli
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D011474:Prosthesis Design; D012092:Replantation; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Aneurysm, infected/diagnosis/microbiology/surgery/therapy; aortic aneurysm, abdominal/diagnosis/microbiology/surgery; streptococcal infections/diagnosis/surgery/therapy; treatment outcome; vascular surgical procedures