Multiple Mycotic Aneurysms of the Thoracoabdominal Aorta and Abdominal Aorta

(Department of Cardiovascular Surgery, Mie University School of Medicine, Tsu, Japan)

Iwao Hioki Yasuhiro Sawada Koji Onoda
Takatsugu Shimono Hideto Shimpo Isao Yada
A 59-year-old man had been treated at another institution for bacterial meningitis (Streptococcus pneumoniae). He had severe back pain and lumbago. Computed tomographic (CT) scanning of the chest and abdomen demonstrated saccular aneurysms at the diaphragm in the descending thoracic aorta and the infrarenal abdominal aorta. An extended left posterolateral retroperitoneal incision was performed for resection of the thoracoabdominal aneurysm and replacement of an in situ dacron graft with rifampicin using cardiopulmonary bypass. The abdominal aneurysm was resected and replaced by an in situ dacron graft with rifampicin. The grafts were covered with a pedicled omental flap. The tissue culture was negative. After subsequent intravenous antibiotic therapy for 2 months, the patient was discharged without any evidence of remaining infection.
@Jpn. J. Cardiovasc. Surg. 34: 233-236 (2005)