title: Stent-graft repair of a mycotic left subclavian artery pseudoaneurysm.
abstract: OBJECTIVE
  To report successful stent-graft treatment of a mycotic pseudoaneurysm of the left subclavian artery in an immunosuppressed patient.
  
  
  METHODS
  A 17-year-old immunosuppressed woman undergoing treatment for recurrent leukemia developed persistent fever and 2 episodes of hemoptysis. A contrast-enhanced computed tomographic (CT) scan demonstrated a saccular aneurysm of the left subclavian artery, which was considered to be a mycotic aneurysm caused by erosive fungal infection from the lung. The pseudoaneurysm was treated with a homemade stent-graft consisting of a nitinol stent and a polyester fabric. A type II endoleak present at the end of the procedure appeared to have sealed spontaneously on the CT scan at 3 days. No neurological deficit or ischemic symptoms of the left arm were noted during the follow-up, which lasted until the patient died 11 months later after rejecting a second bone marrow transplant.
  
  
  CONCLUSIONS
  Endovascular repair may be an alternative to open surgery for the management of mycotic aneurysms of the subclavian artery.
authors.affiliation: Department of Radiology, Kanazawa University School of Medicine, Japan. sanadaj@rad.m.kanazawa-u.ac.jp
authors.forename: Junichiro
authors.initials: J
authors.lastname: Sanada
authors.forename: Osamu
authors.initials: O
authors.lastname: Matsui
authors.forename: Noboru
authors.initials: N
authors.lastname: Terayama
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Minami
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Chujo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Urayama
mesh_terms: D000293:Adolescent; D000497:Alloys; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D009181:Mycoses / Q000150:complications*; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D000497:Alloys; C013616:nitinol