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Stent graft exclusion of a ruptured mycotic popliteal pseudoaneurysm complicating sternoclavicular joint infection

Afif Ghassani1, Jean-Cristophe Delva, Xavier Berard

  • 1Department of Vascular Surgery, University Hospital of Bordeaux, Bordeaux, France. afifghassani@gmail.com

Annals of Vascular Surgery
|June 6, 2012
PubMed

Insights

A ruptured mycotic popliteal artery pseudoaneurysm, caused by septic arthritis, was successfully treated with endovascular stent grafts. This innovative approach offers a safe alternative for frail patients, combining minimally invasive techniques with infection management.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Radiology

Background:

  • Mycotic pseudoaneurysms of the popliteal artery typically arise from septic embolization, often linked to bacterial endocarditis.
  • Conventional surgical treatment prioritizes avoiding foreign materials in infected areas.

Observation:

  • A 59-year-old male presented with a ruptured mycotic pseudoaneurysm of the popliteal artery.
  • The pseudoaneurysm resulted from septic embolism originating from sternoclavicular infectious arthritis.

Findings:

  • This case represents the first documented instance of septic arthritis complicating a mycotic popliteal false aneurysm rupture.
  • Successful treatment was achieved using an endovascular stent graft procedure.

Implications:

  • Endovascular stent grafts, combined with abscess evacuation and antibiotics, provide a viable alternative treatment for unstable patients.
  • This approach expands treatment options for complex vascular infections in high-risk individuals.

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