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Case ReportCase Report
Open Access

Successful repair of a contained rupture of mycotic aortic aneurysm in an 8-year-old child using polytetrafluoroethylene graft

Khalid A. Brekeit
Saudi Medical Journal July 2012, 33 (7) 787-790;
Khalid A. Brekeit
Department of Surgery, College of Medicine, Al-Imam University, 7544 Othman Bin Afan Road, AlNada, Riyadh 4233-13317, Kingdom of Saudi Arabia. Tel. 966 (1) 2037134. E-mail: [email protected]
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Abstract

This study reports on a contained rupture of mycotic abdominal aortic aneurysm secondary to coagulase negative staph successfully repaired with aorto bi-iliac polytetrafluoroethylene (PTFE) Gor-Tex graft. An 8-year-old Saudi male patient was found to have infective endocarditis by coagulase negative staph with mitral valve (MV) leaflet damage, which was repaired with mechanical MV. Post-cardiac surgery, he complained of intermittent abdominal and back pain, until he became more symptomatic and had a sudden abdominal pain. Ultrasound showed abdominal aortic aneurysm (AAA), as well as the CT scan showed contained posterior rupture of AAA. He was operated immediately and the aorta was repaired with bifurcated PTFE Gor-Tex graft. He tolerated the operation, and he was given antibiotic coverage according to sensitivity. Tissue culture of the aorta confirmed coagulase negative staph. The strong relation between infective endocarditis and mycotic aneurysm should make a high index of suspicion of developing abdominal aortic aneurysm in children. Utilizing the PTFE graft with an omental patch is safe and life saving.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 33 (7)
Saudi Medical Journal
Vol. 33, Issue 7
1 Jul 2012
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Successful repair of a contained rupture of mycotic aortic aneurysm in an 8-year-old child using polytetrafluoroethylene graft
Khalid A. Brekeit
Saudi Medical Journal Jul 2012, 33 (7) 787-790;

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Successful repair of a contained rupture of mycotic aortic aneurysm in an 8-year-old child using polytetrafluoroethylene graft
Khalid A. Brekeit
Saudi Medical Journal Jul 2012, 33 (7) 787-790;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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