{"title":"Rapid dilatation of mycotic aneurysm of dissecting aorta caused by Edwardsiella tarda","authors":"Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2024.101640","DOIUrl":null,"url":null,"abstract":"<div><div><em>Edwardsiella tarda</em> is a gram-negative bacillus that is typically found in freshwater environments and the feces of reptiles. A 48-year-old woman with Marfan's syndrome presented to our hospital with fever, nausea, and general fatigue. She had previously undergone a mechanical Bentall procedure and total aortic arch replacement for acute type A aortic dissection. <em>E tarda</em> was identified from the blood culture. Computed tomography scanning revealed a mycotic aneurysm of the dissecting descending aorta. Despite appropriate intravenous antibiotic therapy, the aneurysm dilated rapidly. Thus, an emergency surgery was performed to replace the descending aorta with a graft that was surrounded by a latissimus dorsi muscle flap. Her postoperative course was uneventful.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428724002247","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Edwardsiella tarda is a gram-negative bacillus that is typically found in freshwater environments and the feces of reptiles. A 48-year-old woman with Marfan's syndrome presented to our hospital with fever, nausea, and general fatigue. She had previously undergone a mechanical Bentall procedure and total aortic arch replacement for acute type A aortic dissection. E tarda was identified from the blood culture. Computed tomography scanning revealed a mycotic aneurysm of the dissecting descending aorta. Despite appropriate intravenous antibiotic therapy, the aneurysm dilated rapidly. Thus, an emergency surgery was performed to replace the descending aorta with a graft that was surrounded by a latissimus dorsi muscle flap. Her postoperative course was uneventful.
塔尔达爱德华氏菌（Edwardsiella tarda）是一种革兰氏阴性杆菌，通常存在于淡水环境和爬行动物的粪便中。一名患有马凡氏综合征的 48 岁女性因发烧、恶心和全身乏力到我院就诊。她曾因急性 A 型主动脉夹层接受过机械本塔尔手术和全主动脉弓置换术。从血液培养中发现了 E tarda。计算机断层扫描显示，夹层降主动脉上有一个霉菌性动脉瘤。尽管进行了适当的静脉抗生素治疗，动脉瘤还是迅速扩张。因此，医生为她进行了紧急手术，用背阔肌肌皮瓣环绕的移植物取代了降主动脉。她的术后恢复顺利。
期刊介绍：
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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