title: Mycotic Celiac Artery Aneurysm: A Case Report, Approach Options, and Review of Literature.
abstract: Mycotic celiac artery aneurysm (MCAA) is extremely rare. To date, only 8 cases have been reported in the literature. Endocarditis is the most commonly documented etiology. Here, we report a case of a subacute, symptomatic MCAA presenting with progressive enlargement in a patient who was previously treated for bacterial endocarditis. Management involved a 2-stage surgical intervention: First, aortohepatic bypass with autologous conduit via transperitoneal approach, followed several days later by ligation of the aneurysm base via retroperitoneal exposure. The treatment options for this rare pathology are also discussed along with a literature review.
authors.affiliation: Department of Vascular Surgery, The Cleveland Clinic, Cleveland, OH, USA nayaracioffi@yahoo.com.
authors.forename: Nayara Cioffi
authors.initials: NC
authors.lastname: Batagini
authors.affiliation: Department of Vascular Surgery, The Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Teng
authors.affiliation: Department of Vascular Surgery, The Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Clair
authors.affiliation: Department of Vascular Surgery, The Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Lee
authors.initials: L
authors.lastname: Kirksey
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation*; D034363:Viridans Streptococci / Q000302:isolation & purification*
keywords: endocarditis; mycotic celiac artery aneurysm; surgical approach