title: Peripheral seeding of mycotic aneurysms from an infected aortic stent graft.
abstract: Aortic stent graft infection is rare and there are no reported cases of seeded peripheral mycotic aneurysms complicating this condition. We describe the case of a 54 year old man who developed a late stent graft infection at three years, resulting in the peripheral seeding of three mycotic aneurysms with two incidents of rupture. He was successfully treated with extra-anatomic bypass of the aorta and both surgical and endovascular repair of his peripherally seeded mycotic aneurysms.
authors.affiliation: Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK.
authors.forename: T J
authors.initials: TJ
authors.lastname: Parkinson
authors.forename: C
authors.initials: C
authors.lastname: Rosales
authors.forename: M G
authors.initials: MG
authors.lastname: Wyatt
mesh_terms: D000785:Aneurysm, Infected / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D000890:Anti-Infective Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D013293:Enterococcus faecalis / Q000302:isolation & purification; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D011859:Radiography; D012086:Reoperation; D012422:Rupture, Spontaneous; D015607:Stents / Q000009:adverse effects* / Q000382:microbiology; D016909:Tibial Arteries; D013997:Time Factors; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination