title: Repair of mycotic paravisceral aneurysm with a fenestrated stent-graft.
abstract: 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.
authors.affiliation: Surgical Care Associates, Louisville, KY 40207, USA. www.surcare@igloo.com
authors.forename: E V
authors.initials: EV
authors.lastname: Kinney
authors.forename: H W
authors.initials: HW
authors.lastname: Kaebnick
authors.forename: R A
authors.initials: RA
authors.lastname: Mitchell
authors.forename: M T
authors.initials: MT
authors.lastname: Jung
mesh_terms: 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