title: Endovascular repair of an acute, mycotic, ascending aortic pseudoaneurysm.
abstract: This report describes endovascular stenting of an acute mycotic ascending aortic aneurysm. An eighty-three year old lady presented nine weeks after aortic valve surgery and subsequent thyroidectomy with sternal pain secondary to a mycotic ascending aortic pseudoaneurysm. The pseudoaneurysm was visible through the unhealed sternum. Open repair was considered too high a mortality risk. Endovascular stenting was performed using two covered infrarenal proximal extension devices (GORE Excluder Aortic Extender(®), W. L. Gore & Associates, Flagstaff, Arizona, USA) deployed from a right axillary approach utilising overdrive cardiac pacing. Post procedure imaging revealed shrinkage of the pseudoaneurysm sac.
authors.affiliation: Department of Vascular Surgery, Imperial College NHS Trust, St Mary's Campus, Praed Street, London W2 1NY, United Kindgom. e.vaughan-huxley@doctors.org.uk
authors.forename: E
authors.initials: E
authors.lastname: Vaughan-Huxley
authors.forename: M S
authors.initials: MS
authors.lastname: Hamady
authors.forename: M J
authors.initials: MJ
authors.lastname: Metcalfe
authors.forename: B
authors.initials: B
authors.lastname: Adams
authors.forename: E
authors.initials: E
authors.lastname: Kashef
authors.forename: N J W
authors.initials: NJ
authors.lastname: Cheshire
authors.forename: C D
authors.initials: CD
authors.lastname: Bicknell
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002304:Cardiac Pacing, Artificial; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D011474:Prosthesis Design; D013211:Staphylococcus aureus / Q000302:isolation & purification; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents