Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis.
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.
Jorna
Francisca H
FH
Department of Vascular Surgery, Medical Center Leeuwarden, 8901 BR Leeuwarden, The Netherlands.
Verhoeven
Eric L G
EL
Bos
Wendy T J G
WT
Prins
Ted R
TR
Dol
Johan A
JA
Reijnen
Michel M P J
MM
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
D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular; D012293:Rifampin