Prospects of Conservative Treatment for Associated Aortitis

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2022 May 2

PMID 35493338

Authors

Patrick Kirchweger

Helwig Wundsam

Felix Bosse

Alexander Kupferthaler

Reinhold Huemer

Reinhold Fugger

Affiliations

Soon will be listed here.

Abstract

bacteremia is a rare (72 cases reported) aneurysm-inducing disease that has resulted in a 6-month mortality of 100% when treated conservatively. We report the case of a patient who was completely symptom free at 6 months of follow-up but who ultimately died at 8.9 months after aortic rupture. In compliance with the patient's choice, a long-time antibiotic regimen was applied, instead of the surgical approach recommended by our surgical department. The use of an antibiotic regimen represents an option for patients unfit for surgery or as a bridge to surgery for damage control; however, aortic repair represents the only curative approach. Definitive antibiotic treatment is limited to a palliative approach for patients with aortitis and has been accompanied by 100% 1-year mortality (90-day mortality, 84.2%).

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