Limitations of endovascular treatment with stent-grafts for active mycotic thoracic aortic aneurysm.
An 81-year-old woman with ruptured mycotic thoracic aortic aneurysm was treated with endovascular placement of stent-grafts fabricated from expanded polytetrafluoroethylene and Z-stents. Although exclusion of the aneurysm was achieved at the end of the procedure, a type I endoleak developed on the following day. Despite emergent surgical resection of the aneurysm and extra-anatomical reconstruction, the patient died 2 days later. Stent-graft repair may not be a suitable method for the treatment of ruptured mycotic aneurysm in the presence of active infection.
Ishida
Masaki
M
Department of Radiology, Mie University Hospital, 2-174 Edobashi Tsu, Mie 514-8507, Japan. mishida@clin.medic.mie-u.ac.jp
Kato
Noriyuki
N
Hirano
Tadanori
T
Shimono
Takatsugu
T
Yasuda
Fuyuhiko
F
Tanaka
Kuniyoshi
K
Yada
Isao
I
Takeda
Kan
K
D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000628:therapy*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000628:therapy*; D001027:Aortography; D005260:Female; D006801:Humans; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed