Endovascular repair of a tuberculous mycotic thoracic aortic aneurysm with a custom-made device.
Mycotic aortic aneurysms are rare and it is unlikely that any center will obtain extensive experience in their management. The aim of treatment is to repair the aorta and eradicate the infection with minimal operative and postoperative risk. We describe a case in which a custom-made endovascular stent graft provided the optimal treatment strategy and remained durable at 4 years of follow-up.
Clough
Rachel E
RE
Department of Vascular Surgery, National Institute for Health Research (NIHR) Comprehensive Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom.
Topple
Jane A
JA
Zayed
Hany A
HA
Lyons
Oliver T
OT
Carrell
Tom W
TW
Taylor
Peter R
PR
D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000601:surgery*; D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods; D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003287:Contrast Media; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011300:Preoperative Care; D011474:Prosthesis Design; D018570:Risk Assessment; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014376:Tuberculosis / Q000175:diagnosis / Q000188:drug therapy*
D000995:Antitubercular Agents; D003287:Contrast Media