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Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post-Thoracic Endovascular Aortic Repair.

ABSTRACT: Infected aortic aneurysm (IAA) is a rare, life-threatening disease with rapid progression and a high mortality rate. An 84-year-old man developed IAA caused by urosepsis owing to extended-spectrum ?-lactamase-producing Escherichia coli infection. Considering surgical risk and perioperative mortality, the patient underwent computed tomography-guided percutaneous abscess drainage and continuous irrigation with optimal antibiotic therapy. We controlled his systemic inflammation without surgery; thus, he was discharged. Six months later, we confirmed that the abscess had almost disappeared in the follow-up computed tomography scan. Percutaneous abscess drainage and irrigation may be an effective therapeutic option for surgical high-risk patients with IAA.

SUBMITTER: Tsuzuki I

PROVIDER: S-EPMC7711014 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post-Thoracic Endovascular Aortic Repair.

Tsuzuki Ippei I Kishino Yoshikazu Y Shiraishi Yasuyuki Y Katsumata Yoshinori Y Yuasa Shinsuke S Ito Nobutake N Inoue Masanori M Ito Tsutomu T Shimizu Hideyuki H Fukuda Keiichi K

CJC open 20200831 6

Infected aortic aneurysm (IAA) is a rare, life-threatening disease with rapid progression and a high mortality rate. An 84-year-old man developed IAA caused by urosepsis owing to extended-spectrum β-lactamase-producing <i>Escherichia coli</i> infection. Considering surgical risk and perioperative mortality, the patient underwent computed tomography-guided percutaneous abscess drainage and continuous irrigation with optimal antibiotic therapy. We controlled his systemic inflammation without surge ...[more]

PMID: 33305241

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