대한영상의학회지 (May 2020)

Successful Endovascular Treatment of an Infected Aortic Aneurysm Induced by Klebsiella pneumoniae

  • Hong Gwon Byun,
  • Yook Kim,
  • Jung Hwan Lee,
  • Jisun Lee,
  • Kil Sun Park

DOI
https://doi.org/10.3348/jksr.2020.81.3.733
Journal volume & issue
Vol. 81, no. 3
pp. 733 – 738

Abstract

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Aortic aneurysms infected by Klebsiella pneumoniae are rarely seen. We describe a 50-year-old man with infected aortic aneurysm that was successfully treated with endovascular aneurysm repair (EVAR). Diagnosis was confirmed using blood culture and computed tomography (CT). Intravenous antibiotics were immediately administered, with improvements in clinical findings and negative blood cultures before the procedure. Twenty-four months after the procedure, the patient was stable and serial CT revealed regression of the infected aortic aneurysm. Therefore, after controlling bacteremia and fever with targeted antibiotic therapy, EVAR can be considered as an alternative for patients who have serious comorbidities and are ineligible for conventional surgery.

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