Durable Results with In Situ Graft Repair of Ruptured Salmonella Aneurysm in a Patient with Autoimmune Deficiency Syndrome
Faculty AdvisorAndres Schanzer, MD/Vascular Surgery
UMass Chan AffiliationsDepartment of Surgery, Division of Vascular and Endovascular Surgery
School of Medicine
Senior Scholars Program
Keywordsabdominal aortic aneurysm
in situ repair
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AbstractWe 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.
SourceThompson, 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
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/49294
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.