Percutaneous stent-graft repair of mycotic common femoral artery aneurysm.
OBJECTIVE
To report successful percutaneous repair of a peripheral mycotic aneurysm as a bridge to standard surgical therapy.


METHODS
An aneurysm of the left common femoral artery was diagnosed in a 43-year-old man with subacute infective endocarditis. A Jostent stent-graft was percutaneously deployed to exclude the mycotic lesion. Computed tomography at 8 months after the procedure documented aneurysm regression and stent-graft patency without evidence of infection. Arteriography at 18 months has confirmed continued stent-graft patency and the patient remains asymptomatic.


CONCLUSIONS
The standard management of mycotic aneurysms is usually by surgical resection and repair. However, this case suggests that percutaneous stent-graft implantation may be an option for the treatment of mycotic aneurysms.
Kwon
Kihwan
K
Cardiology Division, Yonsei Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Choi
Donghoon
D
Choi
Seung-Hyuk
SH
Koo
Bon Kwon
BK
Ko
Young-Guk
YG
Jang
Yangsoo
Y
Shim
Won-Heum
WH
Cho
Seung-Yun
SY
D000328:Adult; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed