Treatment of primary infected juxtarenal aortic aneurysm with the multilayer stent
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Vojko Flis1, Joze Matela, Silva Breznik
11Department of Vascular Surgery, University Medical Center Maribor, Maribor, Slovenia.
Purpose:
To report the use of multilayer uncovered stent to treat primary infected juxtarenal aortic aneurysm.
Case Report:
A 50-year-old man was admitted to hospital for rapid onset of intractable abdominal pain and high fever. Computed tomographic scan showed 2 juxtarenal saccular aneurysms of abdominal aorta with morphologic and clinical changes compatible with infectious etiology. Patient was treated with multilayer flow-modulating stent. Follow-up imaging showed persistent aneurysm exclusion and continuous aneurysm shrinkage of the sac until complete regression to a normal aortic configuration was seen at 1 year. During follow-up (24 months), patient continued to do well, and there was no recurrence of infection.
Conclusion:
Multilayer stent appeared to be an acceptable treatment option for primary infected juxtarenal aortic aneurysms. Aneurysmal sac completely disappeared and visceral branches remained patent at 2-year follow-up. However, longer follow-up is necessary to evaluate the long-term patency of involved visceral arteries.
