A Case of Thoracic Aortic Endovascular Repair of a Ruptured Mycotic Aortic Aneurysm Due to Pasteurella Multocida

Authors

  • Fumihiro Kitashima, MD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Ryo Itagaki, MD, PhD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Akira Sezai, MD, PhD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Makoto Taoka, MD, PhD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Shunji Osaka, MD, PhD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Yojiro Machii, MD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Taisuke Hanamura, MD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
  • Masashi Tanaka, MD, PhD Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan

DOI:

https://doi.org/10.1532/hsf.4983

Keywords:

Mycotic aortic aneurysm, thoracic endovascular aneurysm repair

Abstract

An 81-year-old man was admitted for general fatigue of one month’s duration. Two sets of blood cultures revealed bacteremia, due to Pasteurella multocida, while computed tomography (CT) revealed a 47-mm descending aortic saccular aneurysm. After transfer to our hospital, the saccular aneurysm rapidly grew to 54 mm. An emergency thoracic endovascular aortic repair was performed, due to the aneurysm immediately rupturing after the CT scan. The patient was discharged on postoperative day 28.

References

Hsu RB, Chen RJ, Wang SS, Chu SH. 2004. Infected aortic aneurysms: clinical outcome and risk factor analysis. J Vasc Surg. 40:30–5.

Kano Y, Takamatu A, Honda H. 2020. Mycotic aneurysm due to Pasteurella multocida. QJM. 113:667–9.

Migliore E, Serraino C, Brignone C, et al. 2009. Pasteurella multocida infection in a cirrhotic patient: a case report, microbiological aspects and a review of the literature. Adv Med Sci. 54:1-4.

Müller BT, Wegener OR, Grabitz K, Pillny M, Thomas L, Sandmann W. 2001. Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases. J Vasc Surg. 33:106–13.

Semba CP, Sakai T, Slonim SM, et al. 1998. Mycotic aneurysms of the thoracic aorta: repair with use of endovascular stent-grafts. J Vasc Interv Radiol. 9:33–40.

Sörelius K, Budtz-Lilly J, Mani K, Wanhainen A. 2019. Systematic review of the management of mycotic aortic aneurysms. Eur J Vasc Endovasc Surg. 58:426–35.

Sörelius K, Mani K, Björck M, et al. 2014. Endovascular treatment of mycotic aortic aneurysms: a European Multicenter Study. Circulation. 130:2136–42.

Sörelius K, Wanhainen A, Wahlgren C-M, et al. 2019. Nationwide study on treatment of mycotic thoracic aortic aneurysms. Eur J Vasc Endovasc Surg. 57:239–46.

Published

2022-09-28

How to Cite

Kitashima, F., Itagaki, R., Sezai, A., Taoka, M., Osaka, S., Machii, Y., Hanamura, T., & Tanaka, M. (2022). A Case of Thoracic Aortic Endovascular Repair of a Ruptured Mycotic Aortic Aneurysm Due to Pasteurella Multocida. The Heart Surgery Forum, 25(5), E680-E682. https://doi.org/10.1532/hsf.4983

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Section

Articles