Senior Scholars Program

Title

Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome

UMMS Affiliation

Senior Scholars Program; School of Medicine; Department of Surgery, Division of Vascular and Endovascular Surgery

Faculty Advisor

Andres Schanzer, MD/Vascular Surgery

Date

1-2016

Document Type

Article

Disciplines

Surgery

Abstract

We describe a case of a 42-year-old male patient with advanced autoimmune deficiency syndrome (AIDS) (CD4 count of 16 cells/mm) found to have a ruptured infected infrarenal aortic aneurysm. Emergent in situ repair was performed with a Hemashield Dacron graft (Boston Scientific, Natick, MA). Aortic tissue cultures grew group DSalmonella. Patient was placed initially on intravenous ciprofloxacin followed by lifelong oral levofloxacin and trimethoprim. Over 2 years following repair, he remains asymptomatic, with repair intact and no recurrent infection. This case is the first reported successful long-term repair of a ruptured salmonella infected abdominal aortic aneurysm in the setting of advanced AIDS.

Rights and Permissions

Citation: Thompson, P. C., Wang, L., Columbo, J., Schanzer, A., & Robinson, W. P. (2016). Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome. International Journal of Angiology. doi: 10.1055/s-0035-1556840

Comments

Patrick Thompson participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School.

Keywords

abdominal aortic aneurysm, mycotic aneurysm, AIDS, infection, ruptured aneurysm, in situ repair, salmonella