Endovascular management of a ruptured mycotic aneurysm of the innominate artery.
Mycotic aneurysms of the innominate artery are infrequent lesions and, as such, represent challenging surgical problems. We describe herein a case of a ruptured mycotic innominate artery aneurysm, which developed after radical neck dissection and radiation therapy for tonsillar carcinoma. The aneurysm was successfully excluded from the systemic circulation with endoluminal placement of a covered stent, with efficacy confirmed by vascular imaging at 6 months follow-up. The patient suffered no permanent neurologic sequelae. Long-term follow-up and chronic antibiotic therapy will be necessary to avoid infection of the covered stent in this high-risk surgical patient.
Bush
Ruth L
RL
Cardiac and Vascular Surgery Center, Tallahassee Memorial Hospital, Tallahassee, Florida 32308, USA. rlbush@aol.com
Hurt
Julian E
JE
Bianco
Charles C
CC
D000785:Aneurysm, Infected / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000628:therapy*; D016122:Brachiocephalic Trunk; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014067:Tonsillar Neoplasms / Q000628:therapy