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Management of Mycotic Thoracic Aortic Aneurysm With Staged Hybrid Approach
Hossam Alslaim1, Jane Chung1, Mrinal Shukla1
1Medical College of Georgia at Augusta University, Department of Surgery, Division of Vascular and Endovascular Surgery, Augusta, Georgia.
Abstract:
We report a case of mycotic thoracic aortic aneurysm managed by staged hybrid repair. A 30-year-old male patient with polysubstance abuse presented with chest pain and elevated white blood cell count. CTA performed showed a rapidly developing mycotic thoracic aortic pseudoaneurysm. He underwent emergent thoracic endovascular aortic repair followed 24 hours later by surgical debridement of the posterior mediastinum. Cultures grew Methicillin-resistant Staphylococcus aureus and patient was placed on long term antibiotics. The patient was asymptomatic on follow up one year after his final operation with complete exclusion of pseudoaneurysm with no endoleak.
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