Endovascular repair of mycotic aortic aneurysms

We report our single-center experience of early and midterm outcome after endovascular repair of mycotic aortic aneurysms (MAA).

Case records were retrospectively reviewed of 11 patients who underwent endovascular repair of 13 MAAs between 2000 and 2007. The aneurysms were localized in the aortic arch in 1 patient, descending thoracic aorta in 4, suprarenal abdominal aorta in 3, and infrarenal abdominal aorta in 5.

Mean follow-up was 27 months. A bleeding aortoesophageal fistula resulted in one in-hospital death

Endovascular treatment for MAA was feasible, with acceptable perioperative mortality and midterm outcome in this single-center case series. Recurrent sepsis and late relapse with a second MAA occurred, indicating the need of long-term antibiotic therapy and follow-up, as well as the possible need for secondary open repair in selected cases. Further research is warranted to evaluate long-term outcome.