Case ReportMycotic Abdominal Aortic Aneurysm Secondary to Septic Embolism of a Thoracic Aorta Graft Infection
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Case Report
We present a 38-year-old woman patient with a history of allergy to vancomycin and metamizole, hypertension treated with 3 drugs, hypercholesterolemia and obesity. In June 2007, the patient suffered a Stanford type A aortic dissection that required replacement of the ascending aorta, aortic arch, and proximal descending aorta using an elephant trunk Dacron graft (Jotec® 22 mm) with reimplantation of the supra-aortic trunks. The dissection from the graft to the right primitive iliac artery was
Discussion
Mycotic aneurysms were first described by Osler in 1885 to refer to infected aneurysms secondary to septic embolism due to endocarditis. This entity was more common in the preantibiotic era.2 The incidence of infected aneurysms raise in response to the increase in invasive monitoring techniques, immunosuppressive conditions, angiographies, and other percutaneous techniques or in intravenous drug users.5, 6
Mycotic aneurysms are a rare but devastating disease, and the treatment is still a
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Cited by (2)
Management of abdominal aortic prosthetic graft and endograft infections. A multidisciplinary update
2019, Journal of Infection and ChemotherapyCitation Excerpt :In such cases the diagnosis can be made starting from symptoms that do not refer to the cardiovascular system [17]. Although rare, there is also the possibility of the embolus to become responsible for the formation of a mycotic aneurysm [18]. Possible complications of AGIs are shown in Table 2.
Outcomes of open repair of mycotic aortic aneurysms with in situ replacement
2017, Korean Journal of Thoracic and Cardiovascular Surgery