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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Treatment options for primary infected aorta.

Claire Fraser Taylor¹, Andrew Ferris Lennox

¹Prince of Wales Hospital, Barker St, Randwick, Sydney, New South Wales, Australia 2031.

Annals of Vascular Surgery

|March 14, 2007

Summary

A patient presented with sepsis and back pain, revealing a primary infected aorta and an ileocolic tumor. Both conditions required surgical intervention for successful treatment.

Area of Science:

Vascular Surgery
Infectious Diseases
Gastroenterology

Background:

A 71-year-old male with a history of anterior-perineal bowel resection for malignancy presented with symptoms suggestive of infection.
The patient reported a septic presentation and significant back pain, prompting further investigation.

Observation:

Diagnostic workup identified a primary infection of the aorta as the source of sepsis.
Laparotomy revealed an incidental ileocolic tumor, necessitating concurrent resection.

Findings:

Blood cultures were positive for Escherichia coli prior to surgery.
Enterococcus faecium was isolated directly from the infected aortic tissue.

Implications:

This case highlights the importance of considering aortic infections in patients with sepsis and back pain, especially those with a history of abdominal surgery.

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The simultaneous presence of an infected aorta and an ileocolic tumor underscores the complexity of surgical management in such cases.

Prompt diagnosis and combined surgical intervention are crucial for managing life-threatening conditions like primary infected aorta and gastrointestinal malignancies.