Abstract
Purpose: Mycotic aortic aneurysms are rare but are associated with high morbidity and mortality due to their propensity for rupture. Traditional therapy consists of open surgical repair with resection and aortic reconstruction or extra-anatomic bypass combined with long-term antibiotic therapy. Case report: An 85-year-old male with persistent bacteremia was found to have a descending mycotic aortic aneurysm. Surgical options were discussed and endovascular treatment was recommended with stent-graft placement followed by intra-aortic rifampin infusion. This approach led to resolution of the aneurysm and eradication of bacteremia at 4-month follow-up. Conclusion: By combining traditional surgical strategies with a contemporary endovascular approach, the perioperative mortality and long-term risk of infection associated with mycotic thoracic aneurysms can potentially be decreased.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 765-768 |
| Number of pages | 4 |
| Journal | Vascular and Endovascular Surgery |
| Volume | 45 |
| Issue number | 8 |
| DOIs | |
| State | Published - Nov 2011 |
| Externally published | Yes |
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Keywords
- endovascular stent-graft
- mycotic aneurysm
- rifampin infusion
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Treatment of a mycotic descending thoracic aortic aneurysm using endovascular stent-graft placement and rifampin infusion with postoperative aspiration of the aneurysm sac. / Adkisson, Cameron D.; Oldenburg, W. Andrew; Belli, Erol V.; Harris, Adam S.; Walser, Eric; Hakaim, Albert G.
In: Vascular and Endovascular Surgery, Vol. 45, No. 8, 11.2011, p. 765-768.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Treatment of a mycotic descending thoracic aortic aneurysm using endovascular stent-graft placement and rifampin infusion with postoperative aspiration of the aneurysm sac
AU - Adkisson, Cameron D.
AU - Oldenburg, W. Andrew
AU - Belli, Erol V.
AU - Harris, Adam S.
AU - Walser, Eric
AU - Hakaim, Albert G.
PY - 2011/11
Y1 - 2011/11
N2 - Purpose: Mycotic aortic aneurysms are rare but are associated with high morbidity and mortality due to their propensity for rupture. Traditional therapy consists of open surgical repair with resection and aortic reconstruction or extra-anatomic bypass combined with long-term antibiotic therapy. Case report: An 85-year-old male with persistent bacteremia was found to have a descending mycotic aortic aneurysm. Surgical options were discussed and endovascular treatment was recommended with stent-graft placement followed by intra-aortic rifampin infusion. This approach led to resolution of the aneurysm and eradication of bacteremia at 4-month follow-up. Conclusion: By combining traditional surgical strategies with a contemporary endovascular approach, the perioperative mortality and long-term risk of infection associated with mycotic thoracic aneurysms can potentially be decreased.
AB - Purpose: Mycotic aortic aneurysms are rare but are associated with high morbidity and mortality due to their propensity for rupture. Traditional therapy consists of open surgical repair with resection and aortic reconstruction or extra-anatomic bypass combined with long-term antibiotic therapy. Case report: An 85-year-old male with persistent bacteremia was found to have a descending mycotic aortic aneurysm. Surgical options were discussed and endovascular treatment was recommended with stent-graft placement followed by intra-aortic rifampin infusion. This approach led to resolution of the aneurysm and eradication of bacteremia at 4-month follow-up. Conclusion: By combining traditional surgical strategies with a contemporary endovascular approach, the perioperative mortality and long-term risk of infection associated with mycotic thoracic aneurysms can potentially be decreased.
KW - endovascular stent-graft
KW - mycotic aneurysm
KW - rifampin infusion
UR - http://www.scopus.com/inward/record.url?scp=84856009312&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84856009312&partnerID=8YFLogxK
U2 - 10.1177/1538574411418007
DO - 10.1177/1538574411418007
M3 - Article
VL - 45
SP - 765
EP - 768
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
SN - 1538-5744
IS - 8
ER -