In Situ Reconstruction with a Rifampicin-Bonded Gelatin-Sealed Dacron Graft for Pseudoaneurysm after Root Replacement

亙, 加藤; 一喜, 田嶋; 幸枝, 寺澤; 啓介, 田中; 仁一, 岩瀬; 昭典, 井尾

doi:10.4326/jjcvs.34.422

J.J.C.V.S

2005

DOI: 10.4326/jjcvs.34.422

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In Situ Reconstruction with a Rifampicin-Bonded Gelatin-Sealed Dacron Graft for Pseudoaneurysm after Root Replacement

加藤亙¹,

田嶋一喜²,

寺澤幸枝³

et al.

Abstract: A 58-year-old man underwent aortic root replacement for annuloaortic ectasia (AAE) and aortic regurgitation (AR). The patient was readmitted because of chest discomfort 3 months after the first operation. Computed tomography showed a pseudoaneurysm of the ascending aorta. Re-aortic root replacement was done on an emergency basis. However, 16 days after the second operation, a pseudoaneurysm was revealed by computed tomography. The third operation was successfully performed using a rif ampicin-bonded gelatin-se… Show more

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2013

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A Case of Infective Thoracoabdominal Aortic Aneurysm with Rapid Expansion during Steroid Therapy for Retroperitoneal Fibrosis

Akuzawa¹,

Ishigami²,

Suzuki³

2013

J. J. C. V. S.

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A 66-year-old man who suffered from intermittent abdominal and back pain underwent medical examinations at our hospital. A high value of leukocyte, inflammatory reaction and IgG4 was detected, and computed tomography demonstrated that there was thickened soft tissue around the abdominal aorta which extended to the superior mesenteric artery and the renal arteries. He was given a diagnosis of retroperitoneal fibrosis, and prednisolone（PSL）was administered. Although the decrease in thickness of the soft tissue around the aorta was seen, the enlargement of the aorta mainly near the orifice of the celiac artery was shown. We were consulted on this thoracoabdominal aortic aneurysm （Crawford type IV）at this time, and considered that this aneurismal change had occurred secondary to chronic periaortitis. In a few weeks, the rapid expansion of this aneurysm was occurred, so we planned early surgical treatment after tapering of PSL. He underwent graft replacement of thoracoabdominal aorta with rifampicin-bonded graft, because the infection could not be denied as a cause of this aneurysmal change. Although Streptococcus pneumoniae was detected in the specimens from the periaortic tissue, false lumen and aortic wall in the culture test, he had a good post operative course with prolonged antibiotic therapy. Jpn. J. Cardiovasc. Surg. 42 : 408-411（2013） Keywords：infective aortic aneurysm, rifampicin-bonded graft, inflammatory aortic aneurysm, chronic periaortitis, retroperitoneal fibrosis 本研究において一切の利益相反や研究資金の提供はない．None of the authors of this manuscript has any financial or personal relationship with other people or organizations that could inappropriately influence their work.

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A Case of Infective Thoracoabdominal Aortic Aneurysm with Rapid Expansion during Steroid Therapy for Retroperitoneal Fibrosis

Akuzawa¹,

Ishigami²,

Suzuki³

2013

J. J. C. V. S.

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show abstract

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In Situ Reconstruction with a Rifampicin-Bonded Gelatin-Sealed Dacron Graft for Pseudoaneurysm after Root Replacement

Cited by 1 publication

References 9 publications

A Case of Infective Thoracoabdominal Aortic Aneurysm with Rapid Expansion during Steroid Therapy for Retroperitoneal Fibrosis

A Case of Infective Thoracoabdominal Aortic Aneurysm with Rapid Expansion during Steroid Therapy for Retroperitoneal Fibrosis

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