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Peripheral seeding of mycotic aneurysms from an infected aortic stent graft

T J Parkinson1, C Rosales, M G Wyatt

  • 1Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|February 13, 2007
PubMed

Insights

A rare aortic stent graft infection led to peripheral mycotic aneurysms. Successful treatment involved extra-anatomic bypass and repair of the aneurysms.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases

Background:

  • Aortic stent graft infection is a rare complication.
  • Seeded peripheral mycotic aneurysms are an undocumented sequela.

Observation:

  • A 54-year-old man presented with a late aortic stent graft infection (3 years post-implantation).
  • This infection resulted in the seeding of three peripheral mycotic aneurysms.
  • Two of these aneurysms ruptured, indicating a critical condition.

Findings:

  • The patient underwent successful treatment with extra-anatomic bypass of the aorta.
  • Combined surgical and endovascular repair was employed for the peripherally seeded mycotic aneurysms.

Implications:

  • This case highlights a novel presentation of aortic stent graft infection.
  • It underscores the importance of considering peripheral mycotic aneurysms in late infections.
  • Successful multimodal treatment strategies can be effective for this rare condition.

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