Successful endovascular treatment of mycotic aneurysms of the inferior mesenteric artery and the abdominal aorta.
OBJECTIVE
To report a case of successful endovascular treatment of mycotic aneurysms of the inferior mesenteric artery and the aorta.


METHODS
Infrarenal aortitis in a 55-year-old multimorbid man resulted in formation of two mycotic aneurysms, one in the infrarenal aorta and the other in the inferior mesenteric artery. The patient was treated with a bifurcated aortic endograft. Antibiotic therapy was continued postoperatively for one year. Shrinkage of both aneurysms was obtained with no signs of infection or endoleaks at five year follow-up.


CONCLUSIONS
Aortic endografting combined with long-term antibiotic treatment may be considered as a treatment option in similar cases.
Division of Vascular Surgery, Department of Surgery, Tampere University Hospital, Tampere, Finland.
D
D
Vakhitov
Division of Vascular Surgery, Department of Surgery, Tampere University Hospital, Tampere, Finland.
V
V
Suominen
Division of Interventional Radiology, Department of Radiology, Tampere University Hospital, Tampere, Finland.
J
J
Korhonen
Department of Surgery, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
T
T
Kuorilehto
Division of Vascular Surgery, Department of Surgery, Tampere University Hospital, Tampere, Finland.
J-P
JP
Salenius
D000785:Aneurysm, Infected; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001012:Aorta, Abdominal / Q000473:pathology / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D006801:Humans; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D059035:Perioperative Period; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents