Extracorporeal expulsion of a vascular endograft used to treat a mycotic aneurysm.
A 65-year-old woman with a right common iliac artery mycotic aneurysm and an overlying sacral pressure ulcer was treated with placement of a vascular endograft. The mycotic aneurysm was successfully excluded, but 3 months after the procedure, the endograft was expelled through the wound. Fortunately, the patient had minimal clinical sequelae. This case emphasizes the importance of frequent noninvasive imaging of mycotic aneurysms treated with endografts. A rigorous postoperative imaging protocol is proposed based on the current regimen for abdominal aortic aneurysm surveillance after endograft implantation.
Russell H. Morgan Department of Radiology and Radiological Science, Division of Vascular and Interventional Radiology, The Johns Hopkins Medical Institutions, Blalock 545, 600 North Wolfe Street, Baltimore, Maryland 21287, USA. tpatel5@jhmi.edu
Tarak H
TH
Patel
John
J
Eggleston
Clifford R
CR
Weiss
Lawrence V
LV
Hofmann
D000368:Aged; D000785:Aneurysm, Infected / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000382:microbiology / Q000601:surgery*; D009181:Mycoses / Q000601:surgery*; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery; D011475:Prosthesis Failure