Repair of a mycotic aneurysm of the infrarenal aorta in a patient with HIV, using a Palmaz stent and autologous femoral vein graft.
With the widespread use of endovascular surgery, aneurysms can be managed selectively with the use of stent grafts. Standard treatment of mycotic aneurysms usually requires resection and extraanatomic bypass. Although stent graft repair of a mycotic femoral aneurysm with autologous graft has been reported, we present a case of an infrarenal mycotic aneurysm in a patient with the human immunodeficiency virus (HIV) that was successfully treated with a novel endovascular approach.
Patetsios
Peter P
PP
Department of Surgery, Division of Vascular Surgery, Baylor University Medical Center, Dallas TX.
Shutze
William
W
Holden
Bridget
B
Garrett
Wilson V
WV
Pearl
Gregory J
GJ
Smith
Bertram L
BL
Gable
Dennis R
DR
Grimsley
Bradley R
BR
D000785:Aneurysm, Infected / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D001012:Aorta, Abdominal; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome