title: [Endovascular management of an infectious and ruptured abdominal aortic aneurysm. Clinical report].
abstract: Infectious aneurysms are about 1-3% of all aneurysms of the infrarenal aorta. Its treatment is challenging and the best strategy is far from consensual. The authors report a case of a HIV + patient with multiple other co-morbidities, which was seen in the emergency department with fever and left back pain. These symptoms would prove to be in relation to a ruptured infectious aneurysm of the abdominal aorta. Facing this situation it was decided to select an endovascular technique with implantation of an aorto uni - iliac stent graft with a right-left femoro-femoral cross-over using a 8 mm PTFE graft and exclusion of the left common iliac . The patient didn't have any complication from the situation or the procedure, but died 18 months postoperatively because of a pneumonia caused by Pneumocystis jiroveci. Although it is not the ideal solution for the treatment of infectious elective aneurysms, we believe that endovascular treatment seems to be a viable option and should be taken into account in a subgroup of patients that for their co-morbidities are not good candidates for conventional surgery and for those in rupture, either as a bridge or as a final solution.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular II do Hospital Pulido Valente, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Amorim
authors.forename: Gonçalo
authors.initials: G
authors.lastname: Sousa
authors.forename: João
authors.initials: J
authors.lastname: Vieira
authors.forename: Lourenço
authors.initials: L
authors.lastname: C E Sousa
authors.forename: Karla
authors.initials: K
authors.lastname: Ribeiro
authors.forename: Gonçalo
authors.initials: G
authors.lastname: Sobrinho
authors.forename: Teresa
authors.initials: T
authors.lastname: Vieira
authors.forename: Nuno
authors.initials: N
authors.lastname: Meireles
authors.forename: Pereira
authors.initials: P
authors.lastname: Albino
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D008297:Male