Management of Mycotic Thoracic Aortic Aneurysm With Staged Hybrid Approach

Hossam Alslaim, Jane Chung, Mrinal Shukla, Vijay Patel, Gautam Agarwal

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of mycotic thoracic aortic aneurysm managed by staged hybrid repair. A 30-year-old male patient with polysubstance abuse presented with chest pain and elevated white blood cell count. CTA performed showed a rapidly developing mycotic thoracic aortic pseudoaneurysm. He underwent emergent thoracic endovascular aortic repair followed 24 hours later by surgical debridement of the posterior mediastinum. Cultures grew Methicillin-resistant Staphylococcus aureus and patient was placed on long term antibiotics. The patient was asymptomatic on follow up one year after his final operation with complete exclusion of pseudoaneurysm with no endoleak.

Original languageEnglish (US)
JournalAnnals of Vascular Surgery
DOIs
StateAccepted/In press - 2021

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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