Nozomu Sasahashi1, Mikihisa Hamazaki1, Hidenori Asada2, Tsuyoshi Kataoka2, Kunio Hamanaka3, Kei Nishiyama1. 1. Department of Emergency and Critical Care Medicine National Hospital Organization Kyoto Medical Center Kyoto Japan. 2. Department of Cardiovascular Surgery National Hospital Organization Kyoto Medical Center Kyoto Japan. 3. Department of Radiology National Hospital Organization Kyoto Medical Center Kyoto Japan.
Abstract
Case: We report a case of an infected iliac artery aneurysm complicated by an aortocaval fistula. Outcome: A 74-year-old-man was admitted with fever, chills, general fatigue, and appetite loss. The patient was diagnosed with an infected iliac artery aneurysm, which was controlled with antibiotics preoperatively. During hospitalization, deep vein thrombosis developed with a pulmonary embolism resulting from an aortocaval fistula. The patient was successfully operated on with in situ autologous vein graft reconstruction. Conclusion: An infected iliac artery aneurysm with aortocaval shunt has rarely been reported. We successfully treated the patient with a combination of appropriate i.v. antibiotics and surgical resection.
Case: We report a case of an infected iliac artery aneurysm complicated by an aortocaval fistula. Outcome: A 74-year-old-man was admitted with fever, chills, general fatigue, and appetite loss. The patient was diagnosed with an infected iliac artery aneurysm, which was controlled with antibiotics preoperatively. During hospitalization, deep vein thrombosis developed with a pulmonary embolism resulting from an aortocaval fistula. The patient was successfully operated on with in situ autologous vein graft reconstruction. Conclusion: An infected iliac artery aneurysm with aortocaval shunt has rarely been reported. We successfully treated the patient with a combination of appropriate i.v. antibiotics and surgical resection.
Authors: G S Oderich; J M Panneton; T C Bower; K J Cherry; C M Rowland; A A Noel; J W Hallett; P Gloviczki Journal: J Vasc Surg Date: 2001-11 Impact factor: 4.268