Abstract:
PURPOSE:Mycotic aortic aneurysms are rare but are associated with high morbidity and mortality due to their propensity for rupture. Traditional therapy consists of open surgical repair with resection and aortic reconstruction or extra-anatomic bypass combined with long-term antibiotic therapy. CASE REPORT:An 85-year-old male with persistent bacteremia was found to have a descending mycotic aortic aneurysm. Surgical options were discussed and endovascular treatment was recommended with stent-graft placement followed by intra-aortic rifampin infusion. This approach led to resolution of the aneurysm and eradication of bacteremia at 4-month follow-up. CONCLUSION:By combining traditional surgical strategies with a contemporary endovascular approach, the perioperative mortality and long-term risk of infection associated with mycotic thoracic aneurysms can potentially be decreased.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Adkisson CD,Oldenburg WA,Belli EV,Harris AS,Walser EM,Hakaim AGdoi
10.1177/1538574411418007subject
Has Abstractpub_date
2011-11-01 00:00:00pages
765-8issue
8eissn
1538-5744issn
1938-9116pii
45/8/765journal_volume
45pub_type
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