[Endovascular treatment of a thoraco-abdominal aortic aneurysm in case of a specific aortitis].
Successful endovascular repair of an aortic aneurysm of the descending thoracic aorta, laying directly cranial of the celiac artery, caused by a spondylodiscitis of the thoracoabdominal spine. While vascular surgeons refused the open resection of the infected aneurysm, endovascular treatment with a stent-graft was performed. Respecting the celiac artery by catheterisation, endovascular treatment was managed without occluding the A. Adamkiewicz. In case of an unknown infection peri- and postoperative treatment was performed of a prolonged antibiotic and corticosteroid therapy. In a follow-up of three months period, there was a complete regression of the inflammatory aneurysm and an improvement of the spondylodiscitis.
Moll
R
R
Abteilung für Röntgendiagnostik der Chirurgischen Universitätsklinik Würzburg. moll@diak-stutgart.de
Range
P
P
Larena
A
A
Franke
S
S
Schindler
G
G
D000785:Aneurysm, Infected / Q000209:etiology / Q000628:therapy*; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000628:therapy*; D001025:Aortitis / Q000209:etiology / Q000628:therapy*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D015299:Discitis / Q000150:complications; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008159:Lumbar Vertebrae; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015607:Stents; D013904:Thoracic Vertebrae; D036542:Tomography, Spiral Computed