Page 42 - Virtual Vascular Vol 6
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         Mycotic Pseudoaneurysm











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                 SZH Liu mycotic.mp4



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                   A 76-year old man with a history of sepsis was found to have a pseudoaneurysm at the                             INVITED FACULTY ANTONIA TOESCA MILANO ITALY EISUKE FUKUMA CHIBA JAPAN ROGER NGAN HONG KONG CHINA
                   posterior wall of the paravisceral aorta (arrow), with bony destruction of the L1 vertebra.                             GUY SEONG CHOI DAEGU KOREA MASAAKI ITO TOKYO JAPAN HERMANN KESSLER CLEVELAND USA
                   This is a classical appearance of a mycotic pseudoaneurysm of the aorta.  His left kidney                                                DES WINTER DUBLIN IRELAND JIANMIN XU SHANGHAI CHINA
                   is atrophic due to occlusion of the left renal artery.  Treatment is either by open repair of

                   the paravisceral segment, or endovascular repair with a fenestrated graft, and life long                                                             JANUARY 15
        42         antibiotics.  Both yields surprisingly good long term results.                                                                                                                      hksf.hku.hk                    43
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