Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome
Senior Scholars Program; School of Medicine; Department of Surgery, Division of Vascular and Endovascular Surgery
Andres Schanzer, MD/Vascular Surgery
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.
abdominal aortic aneurysm, mycotic aneurysm, AIDS, infection, ruptured aneurysm, in situ repair, salmonella
DOI of Published Version
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
International Journal of Angiology
Thompson, Patrick C.; Wang, Lisa; Columbo, Jesse; Schanzer, Andres; and Robinson, William P. III, "Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome" (2016). University of Massachusetts Medical School. Senior Scholars Program. Paper 236.