Document Detail

Repair of mycotic aortic pseudoaneurysm with a stent graft using transesophageal echocardiography.
MedLine Citation:
PMID:  15337892     Owner:  NLM     Status:  MEDLINE    
A 54-year-old man who underwent uneventful orthotopic heart transplantation 1 year previously had low-grade fever and dyspnea. Imaging studies revealed an ascending aortic pseudoaneurysm (AAP), which was repaired with a 5-mm polyester patch, with circulatory arrest and cardiopulmonary bypass. Intraoperative cultures of the AAP grew methicillin-resistant Staphylococcus aureus, and the pseudoaneurysm recurred after 6 weeks despite intravenously administered antibiotic therapy. A 28.5-mm x 3.3-cm Gore Excluder aortic cuff was deployed in the ascending aorta through a left axillary artery cutdown with use of combined transesophageal echocardiography and fluoroscopy. In addition, controlled hypotension and asystole were established with administration of adenosine to facilitate precise device deployment. Postoperative imaging with transesophageal echocardiography and magnetic resonance angiography revealed complete resolution of the AAP, and the patient had done well at 7-month follow-up. Treatment of a mycotic aortic pseudoaneurysm with an endoprosthesis in a patient without other treatment alternatives can be performed safely, with acceptable short-term results.
Sunil S Rayan; J David Vega; Jack S Shanewise; Li Sheng Kong; Elliot L Chaikof; Ross Milner
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  40     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-31     Completed Date:  2004-09-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  567-70     Citation Subset:  IM    
Department of Vascular Surgery, Emory University, Atlanta, GA 30322, USA.
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MeSH Terms
Aneurysm, False / surgery*,  ultrasonography
Aneurysm, Infected / surgery*,  ultrasonography
Aorta / surgery*,  ultrasonography
Blood Vessel Prosthesis Implantation / methods*
Echocardiography, Transesophageal*
Middle Aged
Staphylococcal Infections / surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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