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- Title
Endovascular Aortic Repair for a Symptomatic Mycotic Aneurysm With Listeria monocytogenes : A Case Report.
- Authors
Masuda, Noriyasu; Azuma, Takashi; Furukawa, Hiroshi; Uwabe, Kazuhiko
- Abstract
Purpose: To report a case of successful endovascular aortic repair for a symptomatic mycotic abdominal aortic aneurysm infected with Listeria monocytogenes. Case Report: We report the case of an 88-year-old woman who presented with acute abdominal pain and vomiting. Approximately a year prior to her presentation, the patient was diagnosed with a mycotic abdominal aortic aneurysm with Listeria monocytogenes and was treated conservatively for more than 2 months at another hospital. At our hospital, contrast-enhanced computed tomography revealed an abdominal aortic aneurysm and an aneurysm of the left internal iliac artery. Endovascular aortic repair was performed successfully. At 16 months after the surgery, the patient remained asymptomatic on long-term antibiotics, and there was no enlargement of the aneurysm. Conclusion: Endovascular aortic repair and lifelong antibiotics may be an alternative therapy for mycotic abdominal aortic aneurysms. However, the risk of recurrent infection is high and warrants long-term follow-up.
- Subjects
ANTIBIOTICS; ENDOVASCULAR aneurysm repair; PHYSICAL diagnosis; ABDOMINAL aortic aneurysms; LISTERIOSIS; TREATMENT effectiveness; VOMITING; ABDOMINAL pain; COMPUTED tomography; BLOOD testing
- Publication
Vascular & Endovascular Surgery, 2023, Vol 57, Issue 4, p411
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744221146679