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 Mentor
Andres Schanzer, MD/Vascular Surgery
Publication Date
2016-1
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.
Keywords
abdominal aortic aneurysm, mycotic aneurysm, AIDS, infection, ruptured aneurysm, in situ repair, salmonella
DOI of Published Version
10.1055/s-0035-1556840
Source
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
Journal/Book/Conference Title
International Journal of Angiology
Repository Citation
Thompson PC, Wang L, Columbo J, Schanzer A, Robinson WP. (2016). Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome. Senior Scholars Program. https://doi.org/10.1055/s-0035-1556840. Retrieved from https://escholarship.umassmed.edu/ssp/236
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.