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Endovascular management of a descending thoracic mycotic aneurysm: mid-term follow-up

Jacques Kpodonu1, James P Williams, Venkatesh G Ramaiah

  • 1Department of Cardiovascular and Endovascular Surgery, Arizona Heart Hospital and Institute, Phoenix, AZ 85006, USA. jkpodonu@azheart.com

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|April 20, 2007
PubMed

Insights

Endovascular graft repair shows promise for treating thoracic mycotic aneurysms, leading to significant thrombosis and regression. This minimally invasive approach may offer a lower-risk alternative to open surgery for these complex infections.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Vascular Imaging

Background:

  • Open surgical repair of mycotic aneurysms carries high risks.
  • Endovascular graft management of thoracic aortic aneurysms offers lower surgical risk.
  • The use of endovascular grafts in mycotic aneurysms is debated due to infection concerns.

Observation:

  • A patient with a thoracic mycotic aneurysm was treated with an endovascular graft.
  • The graft material was placed in contact with infected tissue.

Findings:

  • The endovascular graft resulted in marked thrombosis of the mycotic aneurysm.
  • Significant regression of the aneurysm was observed at mid-term follow-up.

Implications:

  • Endovascular graft repair may be a viable, lower-risk option for mycotic aneurysms.
  • Further research is needed to confirm the long-term efficacy and safety.
  • This approach could potentially reduce morbidity and mortality associated with mycotic aneurysm treatment.

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