Visceral debranching and aortic endoprosthesis for a suspected mycotic pseudoaneurysm of the abdominal aorta involving visceral arteries.

Abstract:

:Celiac aortic localization of mycotic pseudoaneurysm is serious. The conventional treatment, resection of infected tissues with in situ revascularization, is associated with a high surgical morbid-mortality rate. We report a case of mycotic pseudoaneurysm of the abdominal aorta involving visceral arteries excluded by an aortic endoprosthesis after visceral debranching. A 69-year-old man developed a celiac mycotic pseudoaneurysm after an acute prostatitis with septicemia (Escherichia coli). He underwent celiac aortic exclusion by an aortic endoprosthesis associated with a retrogade visceral bypass at the same time, under adequate antibiotherapy. Postoperative course was uneventful. After 18-months of follow-up, he was asymptomatic without signs of infection. Hybrid procedure for mycotic celiac aortic pseudoaneurysm seems to be a complementary technique to conventional open repair, especially in emergency. Endovascular approach does not preclude conversion toward conventional surgery, if necessary. This case report raises the matter of aortic endoprosthesis in infected area, the duration of suppressive antibiotherapy, and the conversion in open repair.

journal_name

Ann Vasc Surg

authors

Soule M,Javerliat I,Rouanet A,Long A,Lermusiaux P

doi

10.1016/j.avsg.2010.01.010

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

825.e13-6

issue

6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(10)00100-7

journal_volume

24

pub_type

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