Mycotic aneurysm of the distal aortic arch caused byAspergillus
作者： Mitsuharu Hosono , Koji Hattori , Toshihiko Shibata , Yasuyuki Sasaki , Hidekazu Hirai
DOI: 10.1007/BF02662471
关键词:
摘要: We describe an unusual case of a thoracic aortic aneurysm caused by Aspergillus. A 70-year-old man underwent prednisolone and Ara-C treatments for myelodysplastic syndrome. Blood examination revealed pancytopenia. Under these treatments, presented at the distal arch. He resection with graft repair covered pedicled omentum flap, followed prolonged administration micafungin itraconazole mycotic aneurysm. The postoperative course was favorable without complications. Serum C-reactive protein became negative he discharged 2 months after surgery. However, 4 surgery, died from worsening prognosis patients aneurysms is poor due to their immunocompetent condition arising underlying diseases. Therefore, in addition prompt treatment antifungal agents combined surgical debridement, control disease essential improving outcome.
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