Mycotic aneurysm of the descending thoracic aorta caused by pseudomonas aeruginosa in a solid organ transplant recipient: Case report and review

Brad A. Feltis, David A. Lee, Gregory J. Beilman

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background: Pseudomonas aeruginosa is a rare cause of aortic mycotic aneurysms. Optimal treatment, including reconstructive graft material and appropriate length of antibiotic therapy, is being debated. Methods: We describe a 26-year-old kidney-pancreas recipient who developed an aneurysm of the descending thoracic aorta caused by P. aeruginosa. Results: After surgical debridement and cryopreserved allograft reconstruction, parenteral antibiotics were continued for 12 months, at which time the patient was converted to oral antibiotic therapy. Within 6 months, he redeveloped a thoracic aortic aneurysm, necessitating reoperation and lifelong parenteral antibiotic therapy. Conclusion: Herein we review and discuss the relevant literature concerning surgical and antibiotic treatment of mycotic thoracic aneurysms.

Original languageEnglish (US)
Pages (from-to)29-33
Number of pages5
JournalSurgical infections
Volume3
Issue number1
DOIs
StatePublished - Jan 1 2002

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