Successful endoluminal repair of an infected thoracic pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus.
OBJECTIVE
To report the successful endoluminal repair of an infected thoracic aneurysm secondary to methicillin-resistant Staphylococcus aureus (MRSA).


METHODS
A 76-year-old man presented with an infected thoracic pseudoaneurysm 9 weeks after an elective infrarenal aneurysm repair. Blood cultures were positive for MRSA. Computed tomography (CT) showed an 11.5-cm false aneurysm of the descending thoracic aorta just proximal to the celiac axis. An Excluder stent-graft was used to successfully repair the lesion. Recovery was uneventful, and the patient was treated with linezolid for 6 weeks. Follow-up CT scans at 3 and 12 months confirmed exclusion of the aneurysm and progressive shrinkage of the aneurysm sac with no evidence of graft infection.


CONCLUSIONS
Endoluminal repair is an alternative to open surgery for the treatment of infected aneurysms of the thoracic aorta.
Bell
Rachel E
RE
Department of General and Vascular Surgery, St. Thomas' Hospital, London, UK.
Taylor
Peter R
PR
Aukett
Marion
M
Evans
George H
GH
Reidy
John F
JF
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000150:complications*; D015607:Stents; D014057:Tomography, X-Ray Computed