2022 Volume 31 Issue 2 Pages 81-84
The patient was a 63-year-old woman who experienced fever and chills during maintenance dialysis and was transferred to the emergency unit of our hospital because her symptoms did not subside. She was admitted on suspicion of bloodstream infection due to shunt puncture. Due to gradually worsening back pain, she underwent thoracoabdominal computed tomography (CT) on the fifth day of admission, which showed imminent rupture of an infected aneurysm of the thoracic aorta. We decided to perform thoracic endovascular aortic repair (TEVAR) to prevent the rupture but encountered difficulty choosing an access route because she had a porcelain aorta with extensive heavy calcification. Upon examination of her CT scan, mild calcification was found in a part of the abdominal aorta. Thus, to save her life, a laparotomy was done, and TEVAR was performed from that point of the abdominal aorta. Subsequently, intravenous antibiotics were administered for 6 weeks postoperatively, after which her medications were changed to oral antibiotics, and she was managed as an outpatient. She has had no infections 1-year post-surgery, and good results have been obtained.
