Thoracic endovascular aortic repair with perioperative antibiotic therapy for infected ductus arteriosus aneurysm in an adult

Ise, Hayato; Akasaka, Nobuyuki; Kamiya, Hiroyuki; Otani, Norifumi

doi:10.1093/jscr/rjy229

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Because the surgical risk is also higher in older patients, endovascular stent grafting has been used and resulted in successful outcomes in recent years. 25,26 One of our six patients who received surgical treatment died of an unrelated cause (subarachnoid hemorrhage), while the remaining four did not show any signs of aneurysm growth by follow-up CT. Surgical intervention was post-poned in two patients (25.0%) to prioritize the treatment of other diseases, and the aneurysm expansion was confirmed in one patient.…”

Section: Discussionmentioning

confidence: 73%

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

et al. 2021

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Ductus arteriosus aneurysm (DAA) in adulthood is a rare entity. We retrospectively reviewed our medical records from the past ten years and identified eight cases of adult DAA (six males and two females aged between 69 and 89 years; mean, 76 years), using multi planar reconstruction and three-dimensional reconstruction computed tomography (CT) images. The aneurysm was suspected incidentally in all cases based on the results of chest radiographic screening or postoperative follow-up CT for lung or colon cancer. All eight patients were asymptomatic but had a history of or concurrent hypertension (n = 5, 62.5%), diabetes mellitus (n = 3, 37.5%), cerebrovascular disease (n = 3, 37.5%), ischemic heart disease (n = 1, 12.5%), and cardiac failure (n = 1). All patients had no history of trauma (n = 8, 100%). Six had a history of cigarette smoking. The aneurysm size ranged from 2.0 × 4.0 to 6.3 × 5.3 cm (mean, 3 × 5 cm). The surgical procedures used were four cases of total arch replacement and two cases of thoracic endovascular aortic repair. Two patients were not surgically treated. The median follow-up was 14.5 months (range, 2 months to 9 years). In the two patients who were not surgically treated, the aneurysm enlarged in one, and remained unchanged in the other. Of the six cases surgically-managed cases, one was lost to follow-up, and another patient died of an unrelated cause. The remaining four cases had no enlargement of the aneurysm. No ruptures were reported in any of the cases. DAA should be considered when a saccular aneurysm is located in the minor curvature of the aortic arch and extending toward the left pulmonary trunk in adult patients. Differentiating adult DAA is important, because it is associated with a high risk of rupture due to the fragile nature of true aneurysms.

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Section: Discussionmentioning

confidence: 73%