Thorac Cardiovasc Surg 2013; 61(07): 600-602
DOI: 10.1055/s-0032-1328805
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Successful Management of a Mycotic Pseudoaneurysm Involving an Arch Branch Using an Endovascular Stent Graft

Si Young Choi
1   Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, Uijeongbu-Si, Republic of Korea
,
Chi Kyung Kim
2   Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, Seoul, Republic of Korea
,
Chan Beom Park
2   Department of Thoracic and Cardiovascular Surgery, St. Paul's Hospital, Seoul, Republic of Korea
› Author Affiliations
Further Information

Publication History

15 April 2012

27 April 2012

Publication Date:
17 December 2012 (online)

Abstract

Mycotic aneurysms in the aortic arch are extremely rare and represent a challenging surgical problem. Although surgery is the standard treatment, application of endovascular repair has been extended, but this technique carries a concern regarding the interposition of an artificial graft in the infected lesion. We present the case of an infected pseudoaneurysm in the thoracic aorta which was successfully excluded by treatment with a stent graft.

 
  • References

  • 1 Fillmore AJ, Valentine RJ. Surgical mortality in patients with infected aortic aneurysms. J Am Coll Surg 2003; 196 (3) 435-441
  • 2 Malouf JF, Chandrasekaran K, Orszulak TA. Mycotic aneurysms of the thoracic aorta: a diagnostic challenge. Am J Med 2003; 115 (6) 489-496
  • 3 Hsu RB, Lin FY. Surgery for infected aneurysm of the aortic arch. J Thorac Cardiovasc Surg 2007; 134 (5) 1157-1162
  • 4 Ting AC, Cheng SW, Ho P, Poon JT. Endovascular stent graft repair for infected thoracic aortic pseudoaneurysms—a durable option?. J Vasc Surg 2006; 44 (4) 701-705
  • 5 Patel HJ, Williams DM, Upchurch Jr GR, Dasika NL, Eliason JL, Deeb GM. Late outcomes of endovascular aortic repair for the infected thoracic aorta. Ann Thorac Surg 2009; 87 (5) 1366-1371 , discussion 1371–1372