Infrarenal aortic reconstruction using autologous femoral vein for a mycotic aneurysm caused by Streptococcus equi.
Abstract: A common source of infection in equine, , is an uncommon pathogen in humans, rarely identified as the cause for mycotic aortic aneurysms. Typically associated with consumption of unpasteurized milk or contact with horses, can result in severe bacteremia, endocarditis and meningitis. We describe the presentation and successful management of a 69-year-old retired equestrian who underwent infrarenal aortic resection and reconstruction using autologous right femoral vein for a mycotic aneurysm.
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.
Publication Date: 2021-09-14 PubMed ID: 34531974PubMed Central: PMC8440140DOI: 10.1093/jscr/rjab388Google Scholar: Lookup
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Summary
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This research article discusses the case of a 69-year-old former equestrian who was successfully treated for a mycotic aortic aneurysm caused by Streptococcus equi, a rare bacterial pathogen in humans usually found in horses, through an infrarenal aortic reconstruction procedure using the patient’s own femoral vein.
Streptococcus equi Infection
- Streptococcus equi, usually a source of infection in horses, is seldom identified as a cause for mycotic aortic aneurysms in humans.
- Humans can be exposed to this pathogen through the consumption of unpasteurized milk or by being in contact with horses.
- Streptococcus equi can spark off severe bacteremia, endocarditis, and meningitis in humans.
Patient Presentation and Treatment
- The study discusses a 69-year-old retired equestrian who developed a mycotic aneurysm caused by this rare bacteria.
- The patient was successfully treated through an infrarenal aortic resection and reconstruction, which is the process of replacing diseased aorta with a graft.
Infrarenal Aortic Reconstruction
- In this case, the infrarenal aortic reconstruction was accomplished using the patient’s own right femoral vein, a method known as autologous transplantation.
- This procedure can reduce the risk of complications common with synthetic grafts, as well as lower the risk of infection post-operation.
- The successful outcome of this rare case signifies that autologous femoral vein can be an effective option for reconstruction of mycotic aneurysms caused by Streptococcus equi.
Cite This Article
APA
Ghaly P, Di Mascio D, Vicaretti M.
(2021).
Infrarenal aortic reconstruction using autologous femoral vein for a mycotic aneurysm caused by Streptococcus equi.
J Surg Case Rep, 2021(9), rjab388.
https://doi.org/10.1093/jscr/rjab388 Publication
Researcher Affiliations
- Vascular Surgery Department, Westmead Hospital, WSLHD, NSW, Australia.
- Vascular Surgery Department, Westmead Hospital, WSLHD, NSW, Australia.
- Vascular Surgery Department, Westmead Hospital, WSLHD, NSW, Australia.
References
This article includes 10 references
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