Endovascular repair of mycotic aneurysms of the aorta: an alternative to conventional bypass surgery in patients with acute sepsis.
Treatment of mycotic aneurysms of the aorta includes excision of infected tissue followed by anatomic or extra-anatomic bypass. However, operative mortality remains high particularly in elderly patients with comorbidities. We describe here 2 patients with mycotic aneurysms of the descending aorta in whom endovascular repair was successfully performed. In 1 of these patients, stent grafting was attained during the acute, bacteraemic phase of infection. After 12 and 20 months, respectively, of diagnosis, both patients are doing well.
Guerrero
Manuel L Fernández
ML
Department of Medicine and the Divisions of Infectious Diseases, Invasive Radiology and Nephrology, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Spain. mlfernandez@fjd.es
Urbano
José
J
Ortiz
Alberto
A
Caramelo
Carlos
C
De Górgolas
Miguel
M
D000368:Aged; D000785:Aneurysm, Infected / Q000382:microbiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000382:microbiology / Q000601:surgery*; D001019:Aortic Rupture / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D015607:Stents