title: Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis.
abstract: OBJECTIVE
  To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis.
  
  
  METHODS
  A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months.
  
  
  CONCLUSIONS
  Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.
authors.affiliation: Department of Vascular Surgery, Medical Center Leeuwarden, 8901 BR Leeuwarden, The Netherlands.
authors.forename: Francisca H
authors.initials: FH
authors.lastname: Jorna
authors.forename: Eric L G
authors.initials: EL
authors.lastname: Verhoeven
authors.forename: Wendy T J G
authors.initials: WT
authors.lastname: Bos
authors.forename: Ted R
authors.initials: TR
authors.lastname: Prins
authors.forename: Johan A
authors.initials: JA
authors.lastname: Dol
authors.forename: Michel M P J
authors.initials: MM
authors.lastname: Reijnen
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000904:Antibiotics, Antitubercular; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002445:Celiac Artery; D003967:Diarrhea / Q000209:etiology; D004630:Emergencies; D005221:Fatigue / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D018579:Patient Selection; D011474:Prosthesis Design; D012293:Rifampin; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular; D012293:Rifampin