Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-35397
Poloczek, A; Amann-Vesti, B; Thalhammer, C; Meier, T; Husmann, M (2010). Successful treatment of a mycotic pseudoaneurysm of the brachial artery with percutaneous ultrasound-guided thrombin injection and antibiotics. VASA, 39(2):181-183.
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We report the case of a 48 year old male with human immuno-deficiency virus and hepatitis C virus infection and previous grafting of a thoracic aortic aneurysm. He returned from a trip to India with fever and in a poor physical condition. Diagnostic work-up revealed septicaemia with staphylococcus aureus, infection of the aortic graft with covered rupture of the proximal anastomosis and mitral valve endocarditis. Following antibiotic therapy, implantation of a transcutaneous endovascular aortic prosthesis and mitral valve repair were performed. During the postoperative period, the patient complained of pain and a palpable pulsating mass in the right cubital fossa. Ultrasound scan revealed a pseudoaneurysm at the brachial artery bifurcation. Since there were no signs of venous puncture in this area, we assumed this to be a mycotic pseudoaneurysm resulting from septic embolism. In the absence of clinical signs of inflammation, this pseudoaneurysm was successfully treated by ultrasound-guided thrombin injection. Irrespective of the cause for this mycotic pseudoaneurysm of the brachial artery, percutaneous ultrasound-guided thrombin closure in combination with antibiotic therapy might be a feasible, safe, cheap and minimally-invasive alternative to surgery.
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|Other titles:||Erfolgreicher Verschluss eines mykotischen Pseudoaneurysmas der A. brachialis durch perkutane, Ultraschall-gesteuerte Thrombin-Injektion und antibiotische Therapie|
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Angiology|
|Dewey Decimal Classification:||610 Medicine & health|
|Deposited On:||17 Aug 2010 06:57|
|Last Modified:||02 Dec 2013 15:04|
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