Peripheral seeding of mycotic aneurysms from an infected aortic stent graft.
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.
Parkinson
T J
TJ
Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK.
Rosales
C
C
Wyatt
M G
MG
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
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination