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| Title | Successful in Situ Graft Replacement with Homograft for Infected Abdominal Aortic Aneurysm |
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| Authors | Kentaro Umezu, Satoshi Saito, Shigeyuki Aomi, Hiromi Kurosawa |
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| Organization | Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University |
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| Journal | Circulation Control |
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| Volume | 30 |
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| Number | 1 |
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| Page | 41-44 |
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| Year/Month | 2009/5 |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | [Introduction] Infected abdominal aortic aneurysms are infrequent, but difficult to treat. The basis of their surgical treatment includes resection of the infected aorta, debridement of surrounding tissue, aortic reconstruction with extra anatomical bypass or in situ graft replacement, and perioperative antibiotic therapy1). We report a successful case of sufficient preoperative antibiotic treatment and elective operation in which arterial reconstruction was performed with a homograft. [Case] A 54-year-old woman was admitted to another hospital with severe back pain and gastrointestinal symptoms. Hospitalization was needed for systemic inflammation. At that time, marked elevations of white blood cell count and C-reactive protein were present. Blood culture detected α-streptococcus and computed tomography revealed an infra-renal abdominal aortic aneurysm (39mm maximum diameter) with a thickened aortic wall, periaortic mass (mantle sign) and local dissection (Fig. 1). The clinical diagnosis of infected abdominal aortic aneurysm was made. Antibacterial therapy (ampicillin 12g/day) was administered. When she was referred to our hospital, she had no organ dysfunction. |
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| Practice | Basic medicine |
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