A Case of Successful Surgical
Treatment for Open Ruptured Abdominal Aortic Aneurysm due to
(Department of Cardiovascular Surgery, Oita Medical
University, Oita, Japan)
A 60-year-old man with impending
rupture of abdominal aortic aneurysm was transferred to our hospital.
The patient entered a state of shock because of rupture during
a CT scan examination. Emergency in site reconstruction with
a dacron Y-graft was performed. There was massive intraperitoneal
bleeding but no apparent abscess formation around the aneurysm.
No drain was placed. A subcutaneous abscess that developed postoperatively
was cured by open drainage and local antibiotic administration.
Culture from both the aortic wall and the subcutaneous abscess
revealed Salmonella infection. After subsequent intravenous
antibiotic therapy for 45 days, the patient was discharged without
any evidence of remaining infection.
Jpn. J. Cardiovasc. Surg. 31：194-197（2002)