Endovascular Stent-Graft Repair of Mycotic Aneurysms of the Aorta: A Case Series with a 22-Month Follow-Up

Tao Zhou; Daqiao Guo; Bin Chen; Junhao Jiang; Weiguo Fu; Yuqi Wang
August 2009
World Journal of Surgery;Aug2009, Vol. 33 Issue 8, p1772
Academic Journal
The purpose of the present study was to present a single-institution series of patients with mycotic aneurysms of the aorta treated with endovascular stent-graft technology, and to report the efficacy and short-term durability of this repair. A retrospective review of seven consecutive patients with mycotic aneurysms of the aorta treated with stent-graft between May 2006 and July 2007. Patients were diagnosed based on typical appearance of imaging together with a positive bacteriology culture or clinical evidence of infection. A bifurcated, aorto-uni-iliac (AUI) stent-graft and cuff were used in the endovascular repair after infection control. The follow-up protocol included regular clinical examination, hematologic tests, and computed tomography scans at 3, 6, 12, and 24 months. Endovascular aneurysm repair (EVAR) was performed successfully in the seven patients (all men, median age 56 years), with complete exclusion of the aneurysms. Five of the patients had infrarenal aortic aneurysms, and the other two had descending thoracic aortic aneurysms. The median hospital stay was 22 days, with no hospital deaths. No paraplegia or other major complications occurred. The patients remained well, with no evidence of graft infection at a mean follow-up of 22.7 months (range: 17–26 months). A significant reduction in the diameter of the aneurysm sac was noted on computed tomography scans in all the patients at 1 year (mean: 6.5 mm; range: 3–40 mm). Endovascular stent-graft treatment represents an alternative treatment with acceptable short-term outcomes for patients with mycotic aneurysms of the aorta.


Related Articles

  • Diagnostic Options in Assessing Abdominal Aortic Endograft Infection. Pringle, Timothy; Muck, Patrick; Lohr, Joann; Thompson, Wendy; Kasper, Gregory C.; Welling, Richard E. // Vascular & Endovascular Surgery;Sep/Oct2003, Vol. 37 Issue 5, p359 

    Endovascular treatment of aortic aneurysms has gained widespread popularity in recent years. Stent grafts have emerged as another option in the surgeon's armamentarium in the treatment of aneurysmal disease. The infectivity of endovascular grafts and therapy for associated graft infections is...

  • Endovascular abdominal aortic aneurysm repair: surveillance of endoleak using maximum transverse diameter of aorta on non-enhanced CT. Nagayama, Hiroki; Sueyoshi, Eijun; Sakamoto, Ichiro; Uetani, Masataka // Acta Radiologica;Jul2012, Vol. 53 Issue 6, p652 

    Background: Repeat volumetric analysis of abdominal aortic aneurysm (AAA) after endovascular AAA repair (EVAR) is time-consuming and requires advanced processing, dedicated equipment, and skilled operators. Purpose: To clarify the validity of measuring the maximal short-axis diameter (Dmax) of...

  • Endovascular Repair of Saccular Ascending Aortic Aneurysm After Orthotopic Heart Transplantation Using an Investigational Zenith Ascend Stent-Graft. Oderich, Gustavo S.; Pochettino, Alberto; Mendes, Bernardo C.; Roeder, Blayne; Pulido, Juan; Gloviczki, Peter // Journal of Endovascular Therapy (Sage Publications Inc.);Aug2015, Vol. 22 Issue 4, p650 

    Purpose: To report the use of an investigational stent-graft to treat an ascending aortic aneurysm in a patient with a heart transplant. Case Report: A 48-year-old man presented with a 3.5×1.5-cm saccular aneurysm in the mid anterior ascending aorta, abutting the sternum. The...

  • Outcomes of secondary procedures after primary thoracic endovascular aortic repair. Nozdrzykowski, Michal; Luehr, Maximilian; Garbade, Jens; Schmidt, Andrej; Leontyev, Sergey; Misfeld, Martin; Mohr, Friedrich-Wilhelm; Etz, Christian D. // European Journal of Cardio-Thoracic Surgery;Mar2016, Vol. 49 Issue 3, p770 

    OBJECTIVES: The purpose of this study is to retrospectively evaluate, with an 'all-comers' approach, the survival and outcome of patients following secondary surgical or interventional procedures after thoracic endovascular aortic repair (TEVAR). METHODS: Between October 2002 and December 2013,...

  • Two-Stage Endovascular Repair for Concurrent Penetrating Atherosclerotic Ulcers of the Thoracic and Abdominal Aorta. Joon Hyuk Kong; Kang Seok Baek; Woo Hyung Kwun; Young Hwan Kim; Duk-Sil Kim; Sung-Wan Kim // Korean Journal of Thoracic & Cardiovascular Surgery;2013, Vol. 46 Issue 5, p365 

    We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open repair or endovascular repair is the treatment option, use of endovascular...

  • Are Newer Third-Generation Stent Grafts Safer and Better for Endovascular Aneurysm Repair? Harris, Peter L.; Van Marrewijk, Corine; Buth, Jacob // Vascular;Nov2005 Supplement, Vol. 13, pS37 

    The article presents a study which examined whether third-generation stent grafts are safer and better for endovascular aneurysm repair. There were differences in the morphological features of the aneurysm treated. The significant increased risks for conversion and reduced risk of aneurysm...

  • Implementation of a successful endovascular surgical program in a non-teaching tertiary-care centre in Ontario. Willoughby, Rod P. N.; Fenton, John A.; Pudupakkam, Santosh R.; Greco, Robert A.; Roberts, Evan W. D.; DeRose, Guy; Kribs, Stewart // Canadian Journal of Surgery;Jun2004, Vol. 47 Issue 3, p182 

    Endovascular surgical techniques have become an accepted standard of care for high-risk patients with abdominal aortic aneurysms and for certain patients with thoracic aortic pathology and peripheral arterial aneurysms. In Canada, endovascular surgery has been concentrated in tertiary-care...

  • Stents in triple layer in endovascular treatment of expanding abdominal aortic aneurysm. Pitta, Guilherme B. B.; da Silva, Cezar Ronaldo Alves; de Medeiros, Josué Dantas; Santos, Adriano Dionisio // Brazilian Journal of Cardiovascular Surgery;jan-mar2012, Vol. 27 Issue 1, p123 

    The article presents a case study of an 88 year old patient with a history of hypertension, increased cholesterol and smoking, who underwent endovascular treatment of abdominal aortic aneurysm. It is mentioned that a triple layer of nitinol stents was placed in right aortic moniliacal position...

  • AORTIC DISEASE - THE EVOLVING THERAPEUTIC CHALLENGE. Lumsden, A. B.; Davies, Mark G. // Methodist DeBakey Cardiovascular Journal;Sep2011, Vol. 7 Issue 3, p1 

    An introduction is presented in which the editor discusses various article within the issue on topics including endovascular surgery, aortic diseases, and aortic aneurysm.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics