Two-staged Operation for an Infected Common Illiac Arterial Aneurysm.
10.4326/jjcvs.28.331
- VernacularTitle:二期的手術を施行した感染性総腸骨動脈りゅうの１治験例
- Author:
Yoshimasa Uno
;
Shigeki Horikoshi
;
Hideto Emoto
;
Hiroyuki Suzuki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(5):331-334
- CountryJapan
- Language:Japanese
-
Abstract:
A 56-year-old man with uncontrolled diabetis mellitus was admitted with general fatigue and high fever. Abdominal CT and aortography showed a saccular aneurysm in the left common illiac artery. Salmonella choleraesuis infection was diagnosed on the basis of blood culture. We performed a two-staged operation because of the tight inflammatory adhesions and the abcess formation around the aneurysm. First we performed surgical treatment of the aneurysm and extra-anatomical bypass grafting (F-F crossover bypass). Then the in situ graft replacement was performed, 4 weeks later. After the second surgery, antibiotics were administered for 6 more weeks. The patient remains asymptomatic for 6 months after the record operation.
