Repair of mycotic paravisceral aneurysm with a fenestrated stent-graft.
OBJECTIVE
To report the successful endovascular repair of a mycotic paravisceral aneurysm using a fenestrated stent-graft.


RESULTS
A 55-year-old white female with a history of rheumatoid arthritis presented with an 8-cm paravisceral aneurysm secondary to pneumonia complicated by empyema. Intravascular ultrasound identified a defect in the aortic wall at the level of the celiac axis. Repair was accomplished with a fenestrated stent-graft that excluded the aneurysm and maintained flow to the celiac axis and superior mesenteric artery. Recovery was uneventful and the patient was discharged in 2 days. Six-month follow-up computed tomographic scanning confirmed aneurysm exclusion and flow to the celiac and superior mesenteric arteries. There was no evidence of graft infection. The patient died from a clinically diagnosed myocardial infarction 10 months after the stent-graft repair.


CONCLUSIONS
Fenestrated stent-graft repair may evolve into a useful technique for the treatment of mycotic paravisceral aneurysms.
Kinney
E V
EV
Surgical Care Associates, Louisville, KY 40207, USA. www.surcare@igloo.com
Kaebnick
H W
HW
Mitchell
R A
RA
Jung
M T
MT
D017541:Aneurysm, False / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional