Treatment of a mycotic abdominal aortic aneurysm with the jailing technique

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Infectious Diseases

Background:

• Mycotic aortic aneurysms are rare but life-threatening infections of the aorta.
• Spondylodiscitis can be a predisposing factor for mycotic aortic aneurysms.
• Ruptured mycotic aortic aneurysms often require immediate intervention, but patient comorbidities can limit treatment options.

Observation:

• A patient with a contained-rupture of a suprarenal mycotic aortic aneurysm, secondary to spondylodiscitis, presented with severe systemic symptoms.
• The patient's critical condition precluded traditional open surgical repair.
• An endovascular approach involving coiling and jailing of the aneurysm was selected as an alternative treatment strategy.

Findings:

• The endovascular coiling and jailing technique was successfully performed in this complex case.
• The patient demonstrated a favorable clinical response post-procedure.
• This case highlights the feasibility of endovascular management for mycotic aortic aneurysms in high-risk individuals.

Implications:

• The coiling and jailing technique offers a viable, less invasive option for managing mycotic aortic aneurysms when open repair is contraindicated.
• This approach may improve outcomes for patients with severe comorbidities.
• Further research is warranted to establish the long-term efficacy and safety of this endovascular technique.