Endovascular repair of mycotic aortic aneurysms

The management of mycotic aneurysms is difficult, with high morbidity and mortality. Traditional open operative approaches include removal of infected material with either extra-anatomic reconstruction or in situ graft repair. Since the advent of endovascular aneurysm repair (EVAR) in the early 1990s, its use in the treatment of aneurysm disease has increased due to proven decrease in 30-day mortality. There have been few case studies reporting the use of EVAR for infected aneurysms. We describe two cases of mycotic aneurysm of the abdominal aorta that were successfully managed with EVAR.