Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points
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 Escherichia coli infection. Considering surgical risk and perioperative mortality...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-11-01
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| Series: | CJC Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589790X20301293 |
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| author | Ippei Tsuzuki, MD Yoshikazu Kishino, MD, PhD Yasuyuki Shiraishi, MD, PhD Yoshinori Katsumata, MD, PhD Shinsuke Yuasa, MD, PhD Nobutake Ito, MD, PhD Masanori Inoue, MD, PhD Tsutomu Ito, MD, PhD Hideyuki Shimizu, MD, PhD Keiichi Fukuda, MD, PhD |
| author_facet | Ippei Tsuzuki, MD Yoshikazu Kishino, MD, PhD Yasuyuki Shiraishi, MD, PhD Yoshinori Katsumata, MD, PhD Shinsuke Yuasa, MD, PhD Nobutake Ito, MD, PhD Masanori Inoue, MD, PhD Tsutomu Ito, MD, PhD Hideyuki Shimizu, MD, PhD Keiichi Fukuda, MD, PhD |
| author_sort | Ippei Tsuzuki, MD |
| collection | DOAJ |
| description | 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 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. Résumé: L’anévrisme aortique infecté (AAI) est une affection rare menaçant le pronostic vital, qui évolue rapidement et est associée à un taux de mortalité élevé. Nous exposons le cas d’un homme de 84 ans présentant un AAI secondaire à un urosepsis, lui-même causé par une infection à Escherichia coli productrice de bêta-lactamases à spectre étendu. Compte tenu du risque associé à une intervention chirurgicale et du risque de mortalité périopératoire, nous avons procédé à un drainage percutané de l’abcès guidé par tomographie assistée par ordinateur et sous irrigation continue, puis prescrit une antibiothérapie optimale. Nous avons ainsi réussi à maîtriser l’inflammation générale sans intervention chirurgicale, et le patient a pu recevoir son congé de l’hôpital. Six mois plus tard, une tomodensitométrie de suivi a permis de confirmer la disparition presque complète de l’abcès. Le drainage et l’irrigation d’un abcès par voie percutanée peuvent donc être une option thérapeutique efficace dans le cas des patients présentant un AAI les exposant à un risque chirurgical élevé. |
| first_indexed | 2024-12-19T00:13:17Z |
| format | Article |
| id | doaj.art-a0843ea3ad2e4dc689377c29d1435112 |
| institution | Directory Open Access Journal |
| issn | 2589-790X |
| language | English |
| last_indexed | 2024-12-19T00:13:17Z |
| publishDate | 2020-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | CJC Open |
| spelling | doaj.art-a0843ea3ad2e4dc689377c29d14351122022-12-21T20:45:56ZengElsevierCJC Open2589-790X2020-11-0126735738Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching PointsIppei Tsuzuki, MD0Yoshikazu Kishino, MD, PhD1Yasuyuki Shiraishi, MD, PhD2Yoshinori Katsumata, MD, PhD3Shinsuke Yuasa, MD, PhD4Nobutake Ito, MD, PhD5Masanori Inoue, MD, PhD6Tsutomu Ito, MD, PhD7Hideyuki Shimizu, MD, PhD8Keiichi Fukuda, MD, PhD9Department of Cardiology, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo, Japan; Corresponding author: Dr Yoshikazu Kishino, Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan. Tel.: +81-3-5843-6702; fax: +81-3-5363-3875.Department of Cardiology, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo, JapanDepartment of Diagnostic Radiology, Keio University School of Medicine, Tokyo, JapanDepartment of Diagnostic Radiology, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiac Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiac Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo, JapanInfected 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 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. Résumé: L’anévrisme aortique infecté (AAI) est une affection rare menaçant le pronostic vital, qui évolue rapidement et est associée à un taux de mortalité élevé. Nous exposons le cas d’un homme de 84 ans présentant un AAI secondaire à un urosepsis, lui-même causé par une infection à Escherichia coli productrice de bêta-lactamases à spectre étendu. Compte tenu du risque associé à une intervention chirurgicale et du risque de mortalité périopératoire, nous avons procédé à un drainage percutané de l’abcès guidé par tomographie assistée par ordinateur et sous irrigation continue, puis prescrit une antibiothérapie optimale. Nous avons ainsi réussi à maîtriser l’inflammation générale sans intervention chirurgicale, et le patient a pu recevoir son congé de l’hôpital. Six mois plus tard, une tomodensitométrie de suivi a permis de confirmer la disparition presque complète de l’abcès. Le drainage et l’irrigation d’un abcès par voie percutanée peuvent donc être une option thérapeutique efficace dans le cas des patients présentant un AAI les exposant à un risque chirurgical élevé.http://www.sciencedirect.com/science/article/pii/S2589790X20301293 |
| spellingShingle | Ippei Tsuzuki, MD Yoshikazu Kishino, MD, PhD Yasuyuki Shiraishi, MD, PhD Yoshinori Katsumata, MD, PhD Shinsuke Yuasa, MD, PhD Nobutake Ito, MD, PhD Masanori Inoue, MD, PhD Tsutomu Ito, MD, PhD Hideyuki Shimizu, MD, PhD Keiichi Fukuda, MD, PhD Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points CJC Open |
| title | Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points |
| title_full | Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points |
| title_fullStr | Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points |
| title_full_unstemmed | Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points |
| title_short | Successful Percutaneous Abscess Drainage and Irrigation for the Treatment of Infected Aortic Aneurysm Post–Thoracic Endovascular Aortic RepairNovel Teaching Points |
| title_sort | successful percutaneous abscess drainage and irrigation for the treatment of infected aortic aneurysm post thoracic endovascular aortic repairnovel teaching points |
| url | http://www.sciencedirect.com/science/article/pii/S2589790X20301293 |
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