title: Endovascular treatment of a symptomatic mycotic aneurysm of the peroneal artery.
abstract: A 69-year-old man was referred to our facility owing to the sudden onset of a compression-like pain in the right leg, without limb-threatening acute ischemia. The duplex scan examination, followed by a selective leg angiography, showed the presence of a peroneal artery aneurysm. A diagnosis of mycotic aneurysm was made on the basis of the patient's clinical condition, positive blood cultures, and the unusual location of the lesion. Endovascular repair was performed by using a coil embolization and covered stent release. The patient was discharged in good general condition with complete pain relief. In previously published data, only four cases of peroneal artery aneurysm with a mycotic etiology have been reported. In this case, the endovascular treatment was safe and resolutive.
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. emaferrero@libero.it
authors.forename: Emanuele
authors.initials: E
authors.lastname: Ferrero
authors.forename: Michelangelo
authors.initials: M
authors.lastname: Ferri
authors.forename: Paolo
authors.initials: P
authors.lastname: Carbonatto
authors.forename: Andrea
authors.initials: A
authors.lastname: Viazzo
authors.forename: Alessandro
authors.initials: A
authors.lastname: Robaldo
authors.forename: Amedeo
authors.initials: A
authors.lastname: Calvo
authors.forename: Alberto
authors.initials: A
authors.lastname: Pecchio
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Berardi
authors.forename: Salvatore
authors.initials: S
authors.lastname: Piazza
authors.forename: Pia
authors.initials: P
authors.lastname: Cumbo
authors.forename: Franco
authors.initials: F
authors.lastname: Nessi
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001158:Arteries / Q000382:microbiology; D004621:Embolization, Therapeutic; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D015607:Stents; D034361:Streptococcus mitis / Q000302:isolation & purification*; D018616:Ultrasonography, Doppler, Duplex
chemical_list: D000900:Anti-Bacterial Agents